| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.89 | $7.89 | $7.89 | |
Aetna
| Professional | $3.99 | $5.78 | $7.89 | |
Cigna
| Professional | $6.87 | $9.47 | $11.91 | |
Medica
| Facility | $4.91 | $10.11 | $14.92 | |
Medica
| Professional | $4.49 | $5.41 | $67.14 | |
United
| Professional | $3.33 | $4.96 | $10.11 |