| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.11 | $2.11 | $4.75 | |
Aetna
| Professional | $2.11 | $2.64 | $2.64 | |
Cigna
| Professional | $2.25 | $2.25 | $2.81 | |
Medica
| Facility | $2.11 | $2.11 | $6.33 | |
Medica
| Professional | $2.24 | $2.24 | $2.43 | |
United
| Professional | $1.90 | $2.24 | $2.43 |