| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.93 | $10.93 | $10.93 | |
Cigna
| Professional | $10.13 | $10.60 | $12.86 | |
Medica
| Facility | $26.40 | $43.20 | $43.20 | |
Medica
| Professional | $24.00 | $41.90 | $56.97 | |
United
| Professional | $22.14 | $42.00 | $56.97 |