| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.62 | $23.05 | $26.30 | |
Cigna
| Professional | $12.15 | $12.15 | $12.15 | |
Medica
| Facility | $21.60 | $25.41 | $33.69 | |
Medica
| Professional | $8.42 | $16.09 | $34.17 | |
United
| Professional | $8.42 | $11.57 | $18.12 |