| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.96 | $23.96 | $23.96 | |
Cigna
| Professional | $16.80 | $16.80 | $42.39 | |
Medica
| Facility | $18.36 | $25.16 | $46.31 | |
Medica
| Professional | $8.92 | $19.16 | $159.69 | |
United
| Professional | $8.92 | $13.41 | $34.29 |