| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.40 | $16.88 | $20.93 | |
Cigna
| Professional | $17.29 | $22.68 | $30.21 | |
Medica
| Facility | $15.07 | $20.26 | $33.06 | |
Medica
| Professional | $15.65 | $21.54 | $162.30 | |
United
| Professional | $14.99 | $19.32 | $30.38 |