| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.84 | $73.66 | $82.77 | |
Cigna
| Professional | $44.38 | $44.38 | $44.38 | |
Medica
| Facility | $65.94 | $73.66 | $112.46 | |
Medica
| Professional | $30.75 | $46.62 | $99.02 | |
United
| Professional | $30.75 | $44.10 | $66.17 |