| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $23.99 | |
Cigna
| Professional | $4.27 | $12.02 | $14.45 | |
Medica
| Facility | $4.57 | $15.85 | $21.38 | |
Medica
| Professional | $4.90 | $6.92 | $40.74 | |
United
| Facility | $5.37 | $5.37 | $5.37 | |
United
| Professional | $4.57 | $6.03 | $9.77 |