| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $3.98 | $3.98 | |
Aetna
| Professional | $3.98 | $3.98 | $3.98 | |
Cigna
| Professional | $1.78 | $1.78 | $1.78 | |
Medica
| Facility | $3.98 | $3.98 | $7.41 | |
United
| Professional | $3.16 | $3.16 | $3.16 |