| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $13.99 | $77.15 | |
Medica
| Facility | $2.00 | $3.10 | $77.53 | |
Medica
| Professional | $20.05 | $31.88 | $52.11 | |
United
| Professional | $20.05 | $31.88 | $52.11 |