| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.36 | $2.36 | $5.31 | |
Aetna
| Professional | $2.36 | $2.45 | $2.95 | |
Cigna
| Professional | $1.50 | $1.52 | $1.88 | |
Medica
| Facility | $2.36 | $2.54 | $95.00 | |
Medica
| Professional | $0.61 | $1.52 | $1.67 | |
United
| Professional | $0.61 | $1.52 | $1.67 |