| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.50 | $45.14 | $284.97 | |
Aetna
| Professional | $0.50 | $0.50 | $0.50 | |
Cigna
| Facility | $0.38 | $0.47 | $0.78 | |
Cigna
| Professional | $0.43 | $0.43 | $0.43 | |
United
| Professional | $0.41 | $0.43 | $0.43 |