| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.52 | $15.89 | $25.90 | |
Aetna
| Professional | $9.38 | $10.34 | $12.41 | |
Cigna
| Facility | $3.53 | $10.34 | $10.34 | |
Cigna
| Professional | $10.34 | $10.34 | $10.34 | |
United
| Professional | $9.93 | $10.34 | $13.44 |