| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.57 | $4.57 | $4.57 | |
Aetna
| Professional | $3.02 | $6.92 | $10.23 | |
Cigna
| Facility | $2.63 | $2.63 | $2.63 | |
Cigna
| Professional | $2.29 | $4.57 | $5.89 | |
United
| Professional | $2.04 | $3.16 | $6.03 |