| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.21 | $5.21 | $5.21 | |
Aetna
| Professional | $4.04 | $4.75 | $5.21 | |
Cigna
| Facility | $17.62 | $17.62 | $20.26 | |
Cigna
| Professional | $10.13 | $10.23 | $12.66 | |
Medica
| Facility | $4.04 | $5.21 | $8.86 |