| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.02 | $10.02 | $11.91 | |
Cigna
| Professional | $12.38 | $12.50 | $15.72 | |
Medica
| Facility | $10.02 | $11.91 | $13.34 | |
Medica
| Professional | $5.92 | $6.03 | $249.47 | |
United
| Professional | $4.38 | $5.92 | $7.15 |