| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.76 | $3.76 | $8.46 | |
Aetna
| Professional | $3.76 | $4.70 | $4.70 | |
Medica
| Facility | $3.76 | $4.12 | $90.00 | |
Medica
| Professional | $2.60 | $6.51 | $7.29 | |
United
| Professional | $2.54 | $6.36 | $7.12 |