| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.02 | $20.29 | $20.29 | |
Cigna
| Professional | $14.22 | $14.22 | $36.20 | |
Medica
| Facility | $20.83 | $26.38 | $39.22 | |
Medica
| Professional | $11.36 | $16.23 | $142.29 | |
United
| Professional | $11.36 | $11.36 | $28.31 |