| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.98 | $24.75 | $39.14 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
Medica
| Facility | $21.50 | $25.11 | $44.34 | |
Medica
| Professional | $22.77 | $26.93 | $149.71 | |
United
| Professional | $22.34 | $25.14 | $47.26 |