| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $6.75 | |
Aetna
| Professional | $3.00 | $3.75 | $3.75 | |
Cigna
| Professional | $3.00 | $3.00 | $3.75 | |
Medica
| Facility | $3.00 | $3.75 | $5.09 | |
Medica
| Professional | $3.75 | $3.75 | $4.07 | |
United
| Professional | $3.19 | $3.75 | $4.07 |