| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.69 | $4.69 | $10.55 | |
Aetna
| Professional | $4.69 | $5.86 | $5.86 | |
Cigna
| Professional | $5.25 | $5.25 | $6.56 | |
Medica
| Facility | $4.69 | $5.86 | $7.97 | |
Medica
| Professional | $5.86 | $5.86 | $6.36 | |
United
| Professional | $4.98 | $5.86 | $6.36 |