| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.61 | $26.61 | $36.40 | |
Cigna
| Professional | $30.52 | $30.52 | $30.52 | |
Medica
| Facility | $36.40 | $37.50 | $196.49 | |
Medica
| Professional | $34.04 | $35.52 | $36.63 | |
United
| Professional | $34.04 | $35.52 | $36.63 |