| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $7.94 | $7.94 | |
Aetna
| Professional | $7.08 | $7.08 | $8.91 | |
Cigna
| Professional | $7.94 | $7.94 | $25.12 | |
United
| Facility | $0.11 | $9.33 | $11.22 | |
United
| Professional | $4.07 | $10.23 | $11.22 |