| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.04 | $3.04 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Medica
| Facility | $3.04 | $14.40 | $27.36 | |
Medica
| Professional | $14.19 | $16.80 | $29.48 | |
United
| Professional | $14.11 | $16.80 | $30.25 |