| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.98 | |
Medica
| Facility | $3.24 | $3.24 | $6.17 | |
Medica
| Professional | $8.91 | $8.91 | $8.91 | |
United
| Professional | $7.94 | $7.94 | $7.94 |