| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.50 | $65.22 | $74.41 | |
Cigna
| Professional | $36.94 | $36.94 | $36.94 | |
Medica
| Facility | $63.78 | $71.90 | $95.48 | |
Medica
| Professional | $25.60 | $45.50 | $96.65 | |
United
| Professional | $25.60 | $35.19 | $55.08 |