| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $38.20 | $38.20 | |
Cigna
| Professional | $50.91 | $50.91 | $50.91 | |
Medica
| Facility | $17.97 | $23.96 | $55.80 | |
Medica
| Professional | $35.28 | $66.40 | $244.02 | |
United
| Professional | $35.28 | $52.99 | $81.23 |