| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.77 | $78.68 | $100.91 | |
Cigna
| Professional | $50.89 | $50.89 | $50.89 | |
Medica
| Facility | $63.68 | $96.32 | $155.49 | |
Medica
| Professional | $48.90 | $52.89 | $908.69 | |
United
| Professional | $48.90 | $52.89 | $75.88 |