| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $7.08 | $7.08 | |
Aetna
| Professional | $7.08 | $7.08 | $7.08 | |
Cigna
| Professional | $4.37 | $4.37 | $4.37 | |
Medcost
| Facility | $7.59 | $7.94 | $12.88 | |
United
| Professional | $6.61 | $6.61 | $6.61 |