| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.61 | $57.06 | $72.75 | |
Cigna
| Professional | $36.19 | $36.19 | $36.19 | |
Medica
| Facility | $51.09 | $57.06 | $87.12 | |
Medica
| Professional | $25.07 | $37.61 | $76.70 | |
United
| Professional | $25.07 | $34.15 | $53.96 |