| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.73 | $106.26 | $461.28 | |
Aetna
| Professional | $0.11 | $0.12 | $28.73 | |
Cigna
| Facility | $0.11 | $0.11 | $0.11 | |
Cigna
| Professional | $0.11 | $0.11 | $0.16 | |
United
| Professional | $0.11 | $0.11 | $0.14 |