| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.86 | $16.68 | $37.54 | |
Cigna
| Professional | $13.10 | $25.02 | $160.58 | |
Medica
| Facility | $14.18 | $18.35 | $75.28 | |
Medica
| Professional | $16.73 | $20.93 | $188.84 | |
United
| Professional | $16.73 | $19.88 | $91.20 |