| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.07 | $23.95 | $29.02 | |
Cigna
| Professional | $12.13 | $25.56 | $27.78 | |
Medica
| Facility | $5.30 | $22.78 | $27.34 | |
Medica
| Professional | $5.15 | $7.36 | $125.00 | |
United
| Professional | $4.90 | $8.08 | $23.82 |