| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $55.77 | $55.77 | $56.88 | |
Cigna
| Professional | $77.25 | $78.02 | $98.11 | |
Medica
| Facility | $55.77 | $56.88 | $68.40 | |
Medica
| Professional | $26.54 | $27.69 | $407.81 | |
United
| Professional | $25.35 | $26.98 | $34.13 |