| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.87 | $7.87 | $7.87 | |
Aetna
| Professional | $4.79 | $7.87 | $8.75 | |
Cigna
| Facility | $9.69 | $9.69 | $9.69 | |
Cigna
| Professional | $40.54 | $40.54 | $40.54 | |
Health Alliance Plan
| Professional | $4.87 | $7.87 | $9.42 | |
United
| Facility | $8.47 | $8.47 | $8.47 | |
United
| Professional | $7.75 | $9.15 | $13.63 |