| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.98 | $4.57 | $7.76 | |
Aetna
| Professional | $3.98 | $3.98 | $5.01 | |
Cigna
| Facility | $4.47 | $4.47 | $4.47 | |
Cigna
| Professional | $4.47 | $4.47 | $4.47 | |
Medica
| Facility | $4.47 | $4.57 | $6.46 | |
Medica
| Professional | $5.62 | $5.62 | $5.62 | |
United
| Professional | $5.62 | $5.62 | $5.62 |