| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.09 | $10.09 | $10.09 | |
Aetna
| Professional | $5.83 | $7.19 | $8.24 | |
Cigna
| Facility | $5.70 | $5.70 | $5.70 | |
Cigna
| Professional | $5.03 | $6.69 | $16.67 | |
United
| Professional | $3.61 | $5.16 | $8.77 |