| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.91 | $36.31 | $44.67 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
Medica
| Facility | $17.78 | $23.99 | $56.23 | |
Medica
| Professional | $35.48 | $56.23 | $245.47 | |
United
| Professional | $35.48 | $48.98 | $81.28 |