| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $83.18 | $95.50 | |
Cigna
| Professional | $47.86 | $47.86 | $47.86 | |
Medica
| Facility | $47.86 | $89.13 | $141.25 | |
Medica
| Professional | $46.77 | $50.12 | $616.60 | |
United
| Professional | $41.69 | $50.12 | $75.86 |