| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.66 | $1.66 | $3.73 | |
Aetna
| Professional | $1.66 | $2.06 | $2.06 | |
Cigna
| Professional | $0.75 | $0.76 | $0.94 | |
Medica
| Facility | $1.66 | $1.78 | $4.98 | |
Medica
| Professional | $1.67 | $4.17 | $4.59 | |
United
| Facility | $0.04 | $0.04 | $0.04 | |
United
| Professional | $1.67 | $4.17 | $4.67 |