| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.33 | $5.33 | $5.33 | |
Aetna
| Professional | $1.31 | $1.31 | $1.39 | |
Cigna
| Facility | $1.39 | $1.39 | $1.39 | |
Cigna
| Professional | $1.39 | $1.39 | $1.39 | |
United
| Professional | $1.64 | $1.64 | $1.64 |