| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.65 | $9.64 | $92.06 | |
Aetna
| Professional | $2.20 | $2.65 | $18.00 | |
Cigna
| Facility | $1.60 | $2.21 | $2.21 | |
Cigna
| Professional | $2.21 | $2.21 | $2.21 | |
United
| Professional | $2.12 | $2.21 | $2.87 |