| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $8.91 | $10.96 | |
Cigna
| Professional | $12.30 | $13.18 | $15.85 | |
Medica
| Facility | $10.00 | $12.02 | $15.14 | |
Medica
| Professional | $4.79 | $6.03 | $251.19 | |
United
| Professional | $4.37 | $4.79 | $11.75 |