| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.15 | $0.15 | $0.15 | |
Aetna
| Professional | $0.15 | $0.15 | $0.15 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $6.96 | $6.96 | $6.96 | |
United
| Professional | $0.19 | $0.22 | $0.47 |