| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $9.33 | |
Aetna
| Professional | $8.91 | $8.91 | $9.33 | |
Cigna
| Professional | $10.72 | $10.72 | $13.18 | |
Medica
| Facility | $9.33 | $9.33 | $15.85 | |
Medica
| Professional | $10.47 | $11.48 | $11.48 | |
United
| Professional | $10.47 | $11.48 | $11.48 |