| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.18 | $3.18 | $6.41 | |
Aetna
| Professional | $3.18 | $3.99 | $3.99 | |
Cigna
| Professional | $3.75 | $3.75 | $4.69 | |
Medica
| Facility | $3.18 | $5.25 | $9.53 | |
Medica
| Professional | $5.25 | $5.25 | $5.70 | |
United
| Professional | $4.46 | $5.25 | $5.70 |