| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.42 | $15.75 | $15.75 | |
Cigna
| Professional | $24.84 | $24.84 | $24.84 | |
Medica
| Facility | $15.75 | $16.22 | $86.41 | |
Medica
| Professional | $7.92 | $8.00 | $8.10 | |
United
| Professional | $7.92 | $8.00 | $8.10 |