| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $38.90 | $53.70 | |
Cigna
| Professional | $61.66 | $66.07 | $79.43 | |
Medica
| Facility | $37.15 | $54.95 | $70.79 | |
Medica
| Professional | $16.60 | $26.30 | $331.13 | |
United
| Professional | $16.60 | $19.50 | $52.48 |