| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.45 | $0.45 | $0.90 | |
Aetna
| Professional | $0.45 | $0.45 | $0.46 | |
Cigna
| Facility | $3.85 | $3.85 | $3.85 | |
Cigna
| Professional | $0.94 | $3.85 | $3.85 | |
Medica
| Facility | $0.45 | $0.48 | $95.00 | |
Medica
| Professional | $3.85 | $4.53 | $4.53 | |
United
| Professional | $3.85 | $4.53 | $4.53 |