| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.03 | $162.02 | $225.96 | |
Aetna
| Professional | $0.03 | $0.03 | $0.03 | |
Cigna
| Facility | $0.04 | $0.05 | $0.08 | |
Cigna
| Professional | $0.03 | $0.03 | $0.03 | |
United
| Professional | $0.03 | $0.03 | $0.03 |