| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.09 | $11.89 | $11.89 | |
Aetna
| Professional | $11.89 | $11.89 | $11.89 | |
Cigna
| Facility | $8.42 | $10.47 | $11.84 | |
Cigna
| Professional | $10.25 | $10.25 | $10.25 | |
United
| Professional | $10.25 | $10.25 | $10.25 |