| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.59 | $4.59 | $4.59 | |
Aetna
| Professional | $2.91 | $4.59 | $5.14 | |
Cigna
| Facility | $20.00 | $20.00 | $20.00 | |
Cigna
| Professional | $17.00 | $17.00 | $17.00 | |
United
| Professional | $2.60 | $3.43 | $6.85 |