| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $77.62 | $77.62 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medica
| Facility | $0.89 | $1.20 | $95.50 | |
Medica
| Professional | $0.78 | $0.89 | $0.98 | |
United
| Professional | $0.78 | $0.89 | $1.02 |