| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $37.40 | $37.92 | $54.10 | |
Cigna
| Professional | $6.85 | $21.23 | $73.43 | |
Medica
| Facility | $13.40 | $40.00 | $73.31 | |
Medica
| Professional | $9.49 | $60.77 | $252.80 | |
United
| Professional | $9.49 | $30.34 | $80.90 |