| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.51 | $32.25 | $32.25 | |
Cigna
| Professional | $38.63 | $39.01 | $49.05 | |
Medica
| Facility | $19.88 | $26.51 | $44.82 | |
Medica
| Professional | $24.04 | $45.25 | $207.28 | |
United
| Professional | $24.04 | $42.14 | $61.46 |