| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.48 | $9.76 | $9.76 | |
Aetna
| Professional | $9.76 | $9.76 | $9.76 | |
Cigna
| Facility | $4.53 | $5.44 | $5.88 | |
Cigna
| Professional | $8.41 | $8.41 | $8.41 | |
United
| Professional | $7.99 | $8.41 | $8.41 |