| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.84 | $12.00 | $18.52 | |
Cigna
| Professional | $9.18 | $20.07 | $37.00 | |
Medica
| Facility | $12.43 | $22.40 | $38.33 | |
Medica
| Professional | $9.60 | $22.55 | $108.24 | |
United
| Professional | $9.60 | $16.00 | $31.77 |