| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.11 | $4.11 | $4.11 | |
Aetna
| Professional | $3.01 | $4.11 | $4.25 | |
Cigna
| Professional | $3.57 | $3.57 | $6.90 | |
Medica
| Facility | $2.43 | $5.97 | $11.83 | |
Medica
| Professional | $2.21 | $2.81 | $28.20 | |
United
| Professional | $1.73 | $2.56 | $4.69 |