| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.37 | $3.37 | $3.37 | |
Aetna
| Professional | $3.37 | $3.55 | $5.26 | |
Cigna
| Facility | $10.31 | $10.31 | $10.31 | |
Cigna
| Professional | $17.00 | $17.00 | $28.05 | |
United
| Professional | $3.34 | $6.00 | $9.49 |