| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.11 | $41.69 | $47.86 | |
Cigna
| Professional | $66.07 | $70.79 | $85.11 | |
Medica
| Facility | $37.15 | $40.74 | $69.18 | |
Medica
| Professional | $16.22 | $20.42 | $316.23 | |
United
| Professional | $16.22 | $19.05 | $38.90 |