| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.45 | $20.17 | $26.30 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
Medica
| Facility | $14.76 | $24.10 | $34.21 | |
Medica
| Professional | $11.68 | $12.62 | $167.01 | |
United
| Professional | $11.68 | $12.62 | $19.02 |