| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $6.03 | $7.08 | $25.70 | |
Cigna
| Facility | $5.62 | $5.62 | $5.62 | |
Cigna
| Professional | $6.17 | $10.00 | $16.22 | |
United
| Professional | $3.63 | $5.75 | $12.88 |