| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.83 | $0.83 | $0.83 | |
Aetna
| Professional | $0.31 | $0.82 | $1.38 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
Medica
| Facility | $0.82 | $0.87 | $90.00 | |
Medica
| Professional | $1.67 | $235.83 | $235.83 | |
United
| Professional | $235.83 | $235.83 | $249.98 |