| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.69 | $85.11 | $109.65 | |
Cigna
| Professional | $48.98 | $48.98 | $48.98 | |
Medica
| Facility | $69.18 | $77.62 | $120.23 | |
Medica
| Professional | $33.88 | $51.29 | $104.71 | |
United
| Facility | $46.77 | $46.77 | $46.77 | |
United
| Professional | $33.88 | $47.86 | $74.13 |