| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.38 | $10.77 | $11.02 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $8.19 | $8.19 | $8.51 | |
United
| Professional | $12.97 | $12.97 | $13.36 | |
Wellpoint
| Professional | $9.07 | $9.07 | $9.07 |