| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.92 | $3.92 | $3.92 | |
Aetna
| Professional | $3.92 | $3.92 | $4.03 | |
Cigna
| Facility | $3.43 | $3.43 | $3.63 | |
Cigna
| Professional | $3.63 | $3.63 | $3.63 | |
Medica
| Facility | $5.45 | $6.36 | $85.00 | |
Medica
| Professional | $5.61 | $5.61 | $8.43 | |
United
| Professional | $3.63 | $3.63 | $3.63 |