| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.39 | $34.28 | $34.28 | |
Cigna
| Professional | $24.00 | $24.24 | $30.48 | |
Medica
| Facility | $15.30 | $29.14 | $52.59 | |
Medica
| Professional | $23.93 | $49.34 | $205.00 | |
United
| Professional | $21.28 | $41.55 | $74.44 |