| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.23 | $0.23 | $0.46 | |
Aetna
| Professional | $0.23 | $0.23 | $0.23 | |
Cigna
| Facility | $0.24 | $0.24 | $0.24 | |
Cigna
| Professional | $0.24 | $0.24 | $0.24 | |
Medica
| Facility | $0.08 | $0.24 | $85.00 | |
Medica
| Professional | $0.23 | $0.23 | $0.23 | |
United
| Professional | $0.23 | $0.23 | $0.23 |