| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.65 | $3.65 | $6.98 | |
Aetna
| Professional | $3.65 | $3.78 | $4.55 | |
Cigna
| Professional | $3.88 | $4.01 | $5.09 | |
Medica
| Facility | $3.65 | $3.65 | $6.21 | |
Medica
| Professional | $3.80 | $4.23 | $990.66 | |
United
| Professional | $3.80 | $3.80 | $4.74 |