| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.31 | $0.31 | $0.31 | |
Aetna
| Professional | $0.31 | $0.31 | $0.98 | |
Cigna
| Facility | $0.89 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
United
| Professional | $212.67 | $235.83 | $242.90 |