| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.15 | $18.98 | $28.47 | |
Aetna
| Professional | $7.69 | $7.69 | $9.23 | |
Cigna
| Facility | $8.05 | $8.05 | $8.05 | |
Medica
| Facility | $7.69 | $11.00 | $100.00 | |
Medica
| Professional | $9.49 | $9.49 | $9.49 | |
United
| Professional | $9.49 | $9.49 | $9.49 |