| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.21 | $54.21 | $54.73 | |
Cigna
| Professional | $75.00 | $75.75 | $95.25 | |
Medica
| Facility | $54.21 | $54.73 | $65.81 | |
Medica
| Professional | $25.78 | $26.91 | $397.30 | |
United
| Professional | $24.25 | $25.81 | $52.44 |