| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.34 | $70.13 | $96.56 | |
Cigna
| Professional | $42.25 | $42.25 | $42.25 | |
Medica
| Facility | $51.12 | $77.06 | $129.09 | |
Medica
| Professional | $40.60 | $43.91 | $558.77 | |
United
| Professional | $39.69 | $43.91 | $66.15 |