| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.47 | $26.47 | $26.47 | |
Cigna
| Professional | $6.75 | $8.32 | $8.57 | |
Medica
| Facility | $17.60 | $28.80 | $28.80 | |
Medica
| Professional | $16.00 | $27.93 | $37.97 | |
United
| Professional | $16.00 | $27.20 | $37.97 |