| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.46 | $7.46 | $94.86 | |
Aetna
| Professional | $7.46 | $7.46 | $7.46 | |
Cigna
| Facility | $5.47 | $7.50 | $8.63 | |
Cigna
| Professional | $6.43 | $6.43 | $6.43 | |
United
| Professional | $6.43 | $6.43 | $6.43 |