| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.45 | $68.54 | $178.00 | |
Cigna
| Professional | $61.13 | $61.13 | $76.41 | |
Medica
| Facility | $57.45 | $68.54 | $119.95 | |
Medica
| Professional | $63.36 | $63.36 | $63.36 | |
United
| Professional | $48.00 | $48.00 | $48.00 | |
Wellmark
| Professional | $48.30 | $48.30 | $48.30 |