| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.59 | $61.95 | $69.84 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Medica
| Facility | $35.56 | $65.65 | $102.28 | |
Medica
| Professional | $36.40 | $39.36 | $509.35 | |
United
| Professional | $36.40 | $39.36 | $56.49 |