| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.91 | $15.60 | $18.59 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medica
| Facility | $13.53 | $20.56 | $32.63 | |
Medica
| Professional | $16.26 | $22.56 | $113.84 | |
United
| Professional | $15.79 | $20.49 | $30.74 |