| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $56.39 | $56.39 | $64.31 | |
Cigna
| Professional | $78.00 | $78.78 | $99.06 | |
Medica
| Facility | $56.39 | $64.31 | $77.34 | |
Medica
| Professional | $26.82 | $30.82 | $426.48 | |
United
| Professional | $26.20 | $27.88 | $61.63 |