| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.36 | $6.36 | $6.36 | |
Aetna
| Professional | $6.36 | $8.65 | $21.13 | |
Cigna
| Facility | $9.35 | $12.68 | $12.68 | |
Cigna
| Professional | $9.35 | $9.35 | $9.35 | |
United
| Professional | $5.80 | $7.48 | $15.17 |