| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.02 | $10.02 | $10.02 | |
Aetna
| Professional | $8.97 | $9.93 | $10.02 | |
Cigna
| Professional | $6.87 | $6.87 | $6.87 | |
Medica
| Facility | $9.88 | $13.67 | $27.77 | |
Medica
| Professional | $5.45 | $9.83 | $127.21 | |
United
| Professional | $4.76 | $8.02 | $11.57 |