| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.05 | $25.05 | $33.18 | |
Cigna
| Professional | $72.62 | $72.62 | $72.62 | |
Medica
| Facility | $21.29 | $28.20 | $39.07 | |
Medica
| Professional | $28.23 | $53.33 | $160.35 | |
United
| Professional | $26.66 | $33.72 | $62.74 |