| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $5.01 | $5.01 | $5.01 | |
Cigna
| Facility | $4.07 | $4.07 | $275.42 | |
Cigna
| Professional | $3.47 | $3.47 | $4.07 | |
United
| Facility | $0.27 | $0.32 | $4.37 | |
United
| Professional | $0.24 | $4.37 | $5.37 |