| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.59 | $36.58 | $59.93 | |
Aetna
| Professional | $4.59 | $4.59 | $4.59 | |
Cigna
| Facility | $4.15 | $4.80 | $5.39 | |
Cigna
| Professional | $3.95 | $3.95 | $3.95 | |
United
| Professional | $3.95 | $3.95 | $3.95 |