| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.94 | $5.94 | $13.36 | |
Aetna
| Professional | $5.94 | $7.42 | $7.42 | |
Cigna
| Professional | $5.25 | $5.25 | $6.56 | |
Medica
| Facility | $5.94 | $6.80 | $17.82 | |
Medica
| Professional | $4.76 | $4.76 | $5.17 | |
United
| Professional | $4.05 | $4.76 | $5.17 |