| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.59 | $7.59 | $17.07 | |
Aetna
| Professional | $7.59 | $9.49 | $9.49 | |
Cigna
| Professional | $8.25 | $8.25 | $10.31 | |
Medica
| Facility | $7.59 | $9.49 | $12.90 | |
Medica
| Professional | $9.49 | $9.49 | $10.31 | |
United
| Professional | $8.07 | $9.49 | $10.31 |