| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.21 | $7.21 | $7.21 | |
Aetna
| Professional | $7.21 | $10.40 | $11.30 | |
Cigna
| Professional | $3.75 | $3.79 | $4.69 | |
Medica
| Facility | $7.21 | $12.26 | $90.00 | |
Medica
| Professional | $9.98 | $17.73 | $22.23 | |
United
| Professional | $10.30 | $18.23 | $21.13 |