| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.60 | $31.50 | $34.14 | |
Cigna
| Professional | $34.18 | $76.98 | $76.98 | |
Medica
| Facility | $22.87 | $25.62 | $34.59 | |
Medica
| Professional | $29.20 | $41.85 | $199.18 | |
United
| Professional | $26.85 | $35.34 | $61.51 |