| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.52 | $8.65 | $10.51 | |
Cigna
| Professional | $9.07 | $9.07 | $9.07 | |
Medica
| Facility | $7.85 | $8.65 | $11.03 | |
Medica
| Professional | $4.76 | $6.55 | $13.33 | |
United
| Professional | $4.76 | $5.96 | $13.33 |