| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.78 | $11.94 | $18.52 | |
Cigna
| Professional | $6.41 | $13.95 | $26.23 | |
Medica
| Facility | $11.78 | $17.57 | $30.01 | |
Medica
| Professional | $8.81 | $20.23 | $482.12 | |
United
| Professional | $8.81 | $9.07 | $22.68 |