| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.93 | $2.93 | $3.12 | |
Aetna
| Professional | $2.93 | $2.93 | $3.63 | |
Cigna
| Facility | $3.12 | $3.12 | $3.12 | |
Cigna
| Professional | $2.93 | $2.93 | $2.93 | |
United
| Professional | $2.78 | $2.93 | $6.45 |