| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.02 | $15.14 | $22.91 | |
Cigna
| Professional | $22.39 | $22.39 | $26.92 | |
Medica
| Facility | $13.49 | $14.45 | $26.92 | |
Medica
| Professional | $7.76 | $7.76 | $91.20 | |
United
| Professional | $7.76 | $7.76 | $18.20 |