| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.45 | $16.67 | $23.79 | |
Cigna
| Professional | $20.74 | $26.70 | $76.92 | |
Medica
| Facility | $17.50 | $32.22 | $65.00 | |
Medica
| Professional | $13.34 | $31.83 | $314.77 | |
United
| Professional | $13.34 | $20.70 | $39.52 |