| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $52.63 | $52.63 | $54.83 | |
Cigna
| Professional | $72.75 | $73.48 | $92.39 | |
Medica
| Facility | $52.63 | $54.83 | $65.94 | |
Medica
| Professional | $25.04 | $26.27 | $393.84 | |
United
| Professional | $24.04 | $26.13 | $82.95 |