| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.82 | $58.94 | $81.06 | |
Cigna
| Professional | $19.59 | $34.78 | $102.64 | |
Medica
| Facility | $18.10 | $56.89 | $89.47 | |
Medica
| Professional | $62.80 | $73.44 | $318.27 | |
United
| Professional | $59.67 | $73.44 | $92.10 |