| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $54.95 | $64.57 | |
Cigna
| Professional | $77.62 | $83.18 | $100.00 | |
Medica
| Facility | $52.48 | $64.57 | $100.00 | |
Medica
| Professional | $22.39 | $30.90 | $426.58 | |
United
| Professional | $22.39 | $26.30 | $61.66 |