| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.41 | $14.79 | $21.38 | |
Aetna
| Professional | $7.08 | $7.94 | $12.59 | |
Medica
| Facility | $7.41 | $12.59 | $89.13 | |
Medica
| Professional | $4.37 | $10.96 | $11.22 | |
United
| Facility | $4.47 | $4.47 | $11.22 | |
United
| Professional | $4.07 | $10.23 | $11.22 |