| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.18 | $10.18 | $10.18 | |
Aetna
| Professional | $6.99 | $7.35 | $7.35 | |
Cigna
| Facility | $5.75 | $5.75 | $5.75 | |
Cigna
| Professional | $6.39 | $9.91 | $16.69 | |
United
| Professional | $3.72 | $5.31 | $12.36 |