| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.16 | $5.90 | $8.85 | |
Aetna
| Professional | $2.39 | $2.45 | $2.74 | |
Cigna
| Facility | $1.73 | $1.73 | $1.73 | |
Cigna
| Professional | $1.73 | $1.73 | $1.73 | |
Medica
| Facility | $2.50 | $2.50 | $95.00 | |
Medica
| Professional | $1.52 | $1.52 | $1.52 | |
United
| Professional | $1.52 | $1.52 | $1.52 |