| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.55 | $75.73 | $137.50 | |
Aetna
| Professional | $5.55 | $5.55 | $5.55 | |
Cigna
| Facility | $5.21 | $6.76 | $7.42 | |
Cigna
| Professional | $4.78 | $4.78 | $4.78 | |
United
| Professional | $4.78 | $4.78 | $4.78 |