| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.69 | $30.93 | $40.59 | |
Cigna
| Professional | $16.97 | $27.66 | $55.61 | |
Medica
| Facility | $15.40 | $30.93 | $48.21 | |
Medica
| Professional | $34.79 | $41.17 | $161.25 | |
United
| Professional | $33.32 | $39.96 | $49.23 |