| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.90 | $64.57 | $83.18 | |
Cigna
| Professional | $37.15 | $37.15 | $37.15 | |
Medica
| Facility | $34.67 | $70.79 | $107.15 | |
Medica
| Professional | $35.48 | $40.74 | $489.78 | |
United
| Professional | $35.48 | $38.02 | $57.54 |