| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $0.02 | |
Cigna
| Professional | $10.66 | $18.17 | $22.72 | |
Medica
| Facility | $37.24 | $112.04 | $112.04 | |
Medica
| Professional | $10.13 | $10.16 | $15.76 | |
United
| Professional | $10.13 | $10.16 | $15.48 |