| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.54 | $32.97 | $32.97 | |
Cigna
| Professional | $23.12 | $23.12 | $58.10 | |
Medica
| Facility | $25.90 | $34.63 | $63.76 | |
Medica
| Professional | $12.54 | $26.38 | $219.85 | |
United
| Professional | $12.54 | $18.47 | $31.50 |