| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.96 | $10.96 | |
Aetna
| Professional | $10.00 | $10.00 | $12.02 | |
Cigna
| Facility | $10.72 | $10.72 | $85.11 | |
Cigna
| Professional | $10.72 | $43.65 | $43.65 | |
United
| Professional | $10.23 | $10.47 | $12.59 |