| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.05 | $17.28 | $24.65 | |
Cigna
| Professional | $12.24 | $26.54 | $37.94 | |
Medica
| Facility | $17.89 | $27.17 | $38.02 | |
Medica
| Professional | $13.82 | $28.80 | $166.58 | |
United
| Professional | $13.82 | $16.89 | $36.86 |