| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.41 | $85.80 | $96.84 | |
Cigna
| Professional | $51.62 | $51.62 | $51.62 | |
Medica
| Facility | $64.61 | $95.82 | $157.75 | |
Medica
| Professional | $49.61 | $53.66 | $784.22 | |
United
| Professional | $49.61 | $53.66 | $80.83 |