| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.55 | $4.55 | $10.26 | |
Aetna
| Professional | $4.55 | $4.73 | $5.70 | |
Cigna
| Professional | $5.63 | $5.63 | $7.03 | |
Medica
| Facility | $4.55 | $4.55 | $13.68 | |
Medica
| Professional | $5.24 | $5.24 | $5.69 | |
United
| Professional | $4.45 | $5.24 | $5.69 |