| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.54 | $27.37 | $45.95 | |
Cigna
| Professional | $36.29 | $36.29 | $36.29 | |
Medica
| Facility | $26.96 | $30.11 | $68.45 | |
Medica
| Professional | $19.05 | $28.58 | $344.54 | |
United
| Professional | $19.05 | $24.82 | $51.04 |