| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.48 | $0.90 | $1.35 | |
Aetna
| Professional | $0.36 | $0.36 | $0.43 | |
Cigna
| Facility | $3.17 | $3.17 | $3.17 | |
Medica
| Facility | $0.40 | $3.28 | $5.78 | |
Medica
| Professional | $4.25 | $4.25 | $4.25 | |
United
| Professional | $4.25 | $4.25 | $4.25 |