| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.69 | $4.69 | $6.61 | |
Aetna
| Professional | $4.69 | $5.73 | $9.61 | |
Cigna
| Facility | $6.55 | $6.55 | $6.55 | |
Cigna
| Professional | $6.55 | $6.55 | $6.55 | |
Medica
| Facility | $4.69 | $5.39 | $11.59 | |
Medica
| Professional | $7.90 | $11.59 | $990.60 | |
United
| Professional | $11.59 | $11.59 | $13.33 |