| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.93 | $15.18 | $52.25 | |
Cigna
| Professional | $17.63 | $17.80 | $22.38 | |
Medica
| Facility | $12.93 | $16.73 | $22.82 | |
Medica
| Professional | $17.68 | $32.40 | $98.60 | |
United
| Professional | $18.98 | $31.59 | $43.10 |