| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $10.00 | $89.13 | |
Aetna
| Professional | $1.00 | $1.00 | $1.00 | |
Cigna
| Facility | $0.87 | $0.87 | $0.87 | |
Cigna
| Professional | $0.87 | $0.87 | $0.87 | |
United
| Professional | $0.60 | $0.79 | $1.10 |