| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $11.75 | $11.75 | |
Aetna
| Professional | $8.91 | $10.00 | $10.96 | |
Cigna
| Facility | $10.00 | $10.00 | $85.11 | |
Cigna
| Professional | $10.00 | $52.48 | $52.48 | |
United
| Professional | $9.55 | $9.77 | $11.75 |