| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.65 | $70.73 | $92.29 | |
Cigna
| Professional | $42.61 | $42.61 | $42.61 | |
Medica
| Facility | $51.21 | $83.55 | $124.79 | |
Medica
| Professional | $40.96 | $44.29 | $585.98 | |
United
| Professional | $40.96 | $44.29 | $63.55 |