| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.44 | $9.63 | $38.40 | |
Cigna
| Professional | $13.88 | $14.71 | $17.34 | |
Medica
| Facility | $9.63 | $9.63 | $90.00 | |
Medica
| Professional | $1.23 | $10.00 | $13.23 | |
United
| Professional | $10.00 | $10.00 | $13.23 |