| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.01 | $32.64 | $36.76 | |
Cigna
| Professional | $21.90 | $21.90 | $21.90 | |
Medica
| Facility | $29.74 | $31.39 | $36.76 | |
Medica
| Professional | $30.94 | $30.94 | $30.94 | |
United
| Professional | $30.94 | $30.94 | $30.94 |