| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.13 | $94.62 | $108.70 | |
Cigna
| Professional | $58.28 | $58.28 | $58.28 | |
Medica
| Facility | $58.83 | $100.99 | $169.97 | |
Medica
| Professional | $56.00 | $60.57 | $747.84 | |
United
| Professional | $56.00 | $60.57 | $86.89 |