| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.32 | $9.32 | $9.32 | |
Aetna
| Professional | $9.32 | $9.32 | $9.81 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Medica
| Facility | $8.83 | $10.30 | $22.74 | |
Medica
| Professional | $3.72 | $8.00 | $11.16 | |
United
| Professional | $3.72 | $7.91 | $11.16 |