| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.71 | $33.82 | $42.35 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Medica
| Facility | $31.25 | $42.35 | $52.09 | |
Medica
| Professional | $21.48 | $27.57 | $149.71 | |
United
| Facility | $25.75 | $25.75 | $25.75 | |
United
| Professional | $21.25 | $27.30 | $50.44 |