| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $64.57 | $74.13 | |
Cigna
| Professional | $102.33 | $109.65 | $131.83 | |
Medica
| Facility | $56.23 | $63.10 | $107.15 | |
Medica
| Professional | $25.12 | $31.62 | $478.63 | |
United
| Professional | $25.12 | $29.51 | $60.26 |