| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $26.92 | $39.81 | |
Cigna
| Professional | $16.98 | $16.98 | $42.66 | |
Medica
| Facility | $18.20 | $25.12 | $44.67 | |
Medica
| Professional | $8.91 | $19.05 | $158.49 | |
United
| Facility | $11.48 | $11.48 | $11.48 | |
United
| Professional | $8.91 | $13.49 | $31.62 |