| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.08 | $12.30 | $12.30 | |
Aetna
| Professional | $7.08 | $7.08 | $12.30 | |
Cigna
| Facility | $6.76 | $7.08 | $85.11 | |
Cigna
| Professional | $7.08 | $43.65 | $43.65 | |
United
| Professional | $6.92 | $7.08 | $15.85 |