| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.65 | $57.54 | $63.10 | |
Cigna
| Professional | $85.11 | $89.13 | $107.15 | |
Medica
| Facility | $51.29 | $64.57 | $97.72 | |
Medica
| Professional | $22.91 | $30.90 | $416.87 | |
United
| Professional | $22.91 | $26.92 | $61.66 |