| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.75 | $30.75 | $58.40 | |
Cigna
| Facility | $23.41 | $23.41 | $23.41 | |
Medica
| Facility | $30.75 | $42.57 | $60.46 | |
Medica
| Professional | $24.28 | $27.44 | $29.14 | |
United
| Professional | $24.28 | $27.44 | $29.14 |