| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.52 | $72.23 | $97.49 | |
Cigna
| Professional | $43.62 | $43.62 | $43.62 | |
Medica
| Facility | $54.58 | $89.06 | $133.28 | |
Medica
| Professional | $41.92 | $45.34 | $710.69 | |
United
| Professional | $41.92 | $45.34 | $65.04 |