| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.91 | $5.99 | $8.55 | |
Cigna
| Professional | $4.80 | $10.07 | $20.45 | |
Medica
| Facility | $6.29 | $11.19 | $36.00 | |
Medica
| Professional | $4.79 | $9.99 | $107.00 | |
United
| Professional | $4.79 | $7.99 | $14.21 |