| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.66 | $0.87 | $0.87 | |
Aetna
| Professional | $0.66 | $0.81 | $0.90 | |
Cigna
| Facility | $1.10 | $1.10 | $1.10 | |
Cigna
| Professional | $1.10 | $1.10 | $1.10 | |
United
| Professional | $235.83 | $235.83 | $271.20 |