| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $97.72 | $125.89 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Medica
| Facility | $85.11 | $95.50 | $147.91 | |
Medica
| Professional | $39.81 | $60.26 | $128.82 | |
United
| Facility | $57.54 | $57.54 | $57.54 | |
United
| Professional | $39.81 | $57.54 | $85.11 |