| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18.20 | $22.91 | $43.65 | |
Cigna
| Professional | $10.00 | $20.42 | $44.67 | |
Medica
| Facility | $15.14 | $23.44 | $35.48 | |
Medica
| Professional | $11.22 | $32.36 | $213.80 | |
United
| Facility | $6.76 | $10.23 | $16.98 | |
United
| Professional | $11.22 | $16.22 | $43.65 |