| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $100.00 | $125.89 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Medica
| Facility | $70.79 | $120.23 | $194.98 | |
Medica
| Professional | $54.95 | $60.26 | $851.14 | |
United
| Professional | $53.70 | $60.26 | $85.11 |