| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.25 | $6.25 | $14.06 | |
Aetna
| Professional | $6.25 | $7.12 | $7.81 | |
Cigna
| Professional | $0.38 | $0.38 | $0.48 | |
Medica
| Facility | $6.25 | $6.72 | $18.75 | |
Medica
| Professional | $0.02 | $0.02 | $0.02 | |
United
| Professional | $0.02 | $0.02 | $0.02 |