| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.63 | $10.50 | $10.50 | |
Aetna
| Professional | $10.50 | $10.50 | $10.50 | |
Cigna
| Facility | $6.96 | $11.65 | $13.40 | |
Cigna
| Professional | $9.05 | $9.05 | $9.05 | |
United
| Professional | $9.05 | $9.05 | $9.05 |