| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.39 | $67.64 | $84.70 | |
Cigna
| Professional | $11.55 | $11.55 | $11.55 | |
Medica
| Facility | $21.18 | $84.70 | $93.17 | |
Medica
| Professional | $12.75 | $16.50 | $91.15 | |
United
| Professional | $12.45 | $15.75 | $29.10 |