| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $74.13 | $181.97 | |
Aetna
| Professional | $3.98 | $10.00 | $13.80 | |
Cigna
| Facility | $3.80 | $3.80 | $3.80 | |
Cigna
| Professional | $3.02 | $6.61 | $8.32 | |
United
| Professional | $2.69 | $4.37 | $8.71 |