| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.00 | $2.00 | $2.00 | |
Aetna
| Professional | $2.00 | $2.00 | $2.00 | |
Cigna
| Professional | $13.99 | $60.75 | $77.15 | |
Medica
| Facility | $2.00 | $2.00 | $3.40 | |
Medica
| Professional | $29.07 | $32.14 | $59.01 | |
United
| Professional | $21.57 | $29.54 | $58.14 |