| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $0.38 | $0.38 | $0.47 | |
Medica
| Facility | $0.14 | $0.19 | $0.30 | |
Medica
| Professional | $0.12 | $0.12 | $0.18 | |
United
| Professional | $0.12 | $0.12 | $0.18 |