| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $30.90 | $41.69 | |
Cigna
| Professional | $36.31 | $36.31 | $36.31 | |
Medica
| Facility | $26.92 | $30.20 | $70.79 | |
Medica
| Professional | $19.05 | $28.84 | $346.74 | |
United
| Professional | $19.05 | $24.55 | $51.29 |