| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.07 | $3.04 | $26.47 | |
Cigna
| Professional | $8.32 | $8.32 | $8.32 | |
Medica
| Facility | $16.00 | $23.20 | $35.20 | |
Medica
| Professional | $13.60 | $16.80 | $28.68 | |
United
| Professional | $13.60 | $16.80 | $28.80 |