| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.73 | $5.73 | $5.73 | |
Aetna
| Professional | $4.76 | $4.76 | $5.73 | |
Cigna
| Professional | $4.13 | $4.17 | $5.16 | |
Medica
| Facility | $5.73 | $5.73 | $5.73 | |
Medica
| Professional | $5.73 | $5.73 | $6.22 | |
United
| Professional | $4.87 | $5.73 | $6.22 |