| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.63 | $5.63 | $12.67 | |
Aetna
| Professional | $5.63 | $7.04 | $7.04 | |
Cigna
| Professional | $6.38 | $6.38 | $7.97 | |
Medica
| Facility | $5.34 | $7.04 | $9.57 | |
Medica
| Professional | $12.20 | $13.58 | $14.75 | |
United
| Professional | $12.20 | $13.58 | $14.75 |