| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $5.01 | $5.01 | |
Aetna
| Professional | $2.00 | $3.98 | $4.07 | |
Cigna
| Facility | $17.78 | $17.78 | $20.42 | |
Cigna
| Professional | $10.23 | $10.23 | $12.59 | |
Medica
| Facility | $4.07 | $5.25 | $9.55 | |
United
| Professional | $2.69 | $2.69 | $2.69 |