| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.02 | $9.02 | $9.02 | |
Aetna
| Professional | $9.02 | $9.93 | $9.93 | |
Cigna
| Professional | $8.25 | $8.33 | $10.31 | |
Medica
| Facility | $9.02 | $9.02 | $9.02 | |
Medica
| Professional | $18.77 | $20.65 | $20.65 | |
United
| Professional | $18.77 | $20.65 | $21.21 |