| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.18 | $21.18 | $28.86 | |
Cigna
| Professional | $24.20 | $24.20 | $24.20 | |
Medica
| Facility | $28.86 | $29.73 | $155.77 | |
Medica
| Professional | $27.01 | $28.16 | $29.04 | |
United
| Professional | $27.01 | $28.16 | $29.04 |