| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.14 | $2.14 | $4.26 | |
Aetna
| Professional | $2.14 | $2.14 | $2.14 | |
Cigna
| Facility | $2.65 | $2.65 | $2.65 | |
Cigna
| Professional | $2.65 | $2.65 | $2.65 | |
Medica
| Facility | $2.14 | $2.65 | $872.10 | |
Medica
| Professional | $2.65 | $2.65 | $2.65 | |
United
| Professional | $2.65 | $2.65 | $2.84 |