| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.95 | $84.50 | $100.78 | |
Cigna
| Professional | $49.92 | $49.92 | $49.92 | |
Medica
| Facility | $75.65 | $84.50 | $129.01 | |
Medica
| Professional | $34.59 | $53.48 | $113.58 | |
United
| Professional | $34.59 | $50.59 | $74.44 |