| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.95 | $0.95 | $0.95 | |
Aetna
| Professional | $0.93 | $0.95 | $1.31 | |
Cigna
| Professional | $1.10 | $1.10 | $1.94 | |
Medica
| Facility | $0.75 | $1.62 | $2.85 | |
Medica
| Professional | $8.66 | $235.83 | $256.12 | |
United
| Professional | $235.83 | $235.83 | $259.41 |