| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.79 | $4.83 | $4.83 | |
Aetna
| Professional | $4.83 | $4.83 | $4.83 | |
Cigna
| Facility | $5.03 | $5.96 | $6.54 | |
Cigna
| Professional | $4.17 | $4.17 | $4.17 | |
United
| Professional | $4.17 | $4.17 | $4.17 |