| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.12 | $0.12 | $0.12 | |
Aetna
| Professional | $0.12 | $0.12 | $0.15 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $16.85 | $16.85 | $16.85 | |
Medcost
| Facility | $0.12 | $0.15 | $0.53 |