| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.58 | $7.58 | $17.05 | |
Aetna
| Professional | $7.58 | $9.47 | $9.47 | |
Cigna
| Professional | $4.13 | $4.13 | $5.16 | |
Medica
| Facility | $7.58 | $9.47 | $12.89 | |
Medica
| Professional | $3.79 | $3.79 | $4.12 | |
United
| Professional | $3.22 | $3.79 | $4.12 |