| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.83 | $64.04 | $69.11 | |
Cigna
| Professional | $37.88 | $37.88 | $37.88 | |
Medica
| Facility | $57.33 | $64.04 | $97.78 | |
Medica
| Professional | $26.25 | $40.54 | $86.10 | |
United
| Professional | $26.25 | $38.35 | $56.49 |