| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.82 | $66.72 | $80.65 | |
Cigna
| Professional | $41.03 | $41.03 | $41.03 | |
Medica
| Facility | $59.73 | $66.72 | $101.86 | |
Medica
| Professional | $28.43 | $42.65 | $89.69 | |
United
| Professional | $28.43 | $36.25 | $61.17 |