| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.76 | $12.76 | $17.38 | |
Cigna
| Professional | $14.57 | $14.57 | $14.57 | |
Medica
| Facility | $17.38 | $17.89 | $93.80 | |
Medica
| Professional | $16.28 | $16.96 | $17.48 | |
United
| Professional | $16.28 | $16.96 | $17.48 |