| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.16 | $2.16 | $4.30 | |
Aetna
| Professional | $2.16 | $2.16 | $2.16 | |
Cigna
| Facility | $2.27 | $2.27 | $2.27 | |
Cigna
| Professional | $2.27 | $2.27 | $2.27 | |
Medica
| Facility | $2.16 | $2.27 | $80.00 | |
Medica
| Professional | $2.23 | $2.23 | $2.23 | |
United
| Professional | $2.23 | $2.23 | $2.27 |