| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.61 | $6.61 | $6.61 | |
Aetna
| Professional | $3.98 | $5.01 | $16.98 | |
Cigna
| Facility | $3.72 | $3.72 | $3.72 | |
Cigna
| Professional | $4.07 | $6.61 | $10.72 | |
United
| Professional | $2.40 | $3.55 | $8.51 |