| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.89 | $25.84 | $35.61 | |
Cigna
| Professional | $23.70 | $35.86 | $75.72 | |
Medica
| Facility | $21.50 | $26.75 | $39.36 | |
Medica
| Professional | $26.74 | $48.76 | $200.17 | |
United
| Professional | $27.99 | $36.11 | $66.05 |