| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.24 | $74.30 | $84.77 | |
Cigna
| Professional | $39.15 | $39.15 | $39.15 | |
Medica
| Facility | $72.68 | $81.92 | $125.06 | |
Medica
| Professional | $27.13 | $51.85 | $110.11 | |
United
| Professional | $27.13 | $40.70 | $58.39 |