| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.22 | $11.22 | $11.22 | |
Aetna
| Professional | $7.08 | $7.94 | $29.51 | |
Cigna
| Facility | $6.46 | $6.46 | $6.46 | |
Cigna
| Professional | $6.46 | $11.22 | $16.60 | |
United
| Professional | $3.16 | $7.94 | $14.79 |