| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.56 | $50.29 | $119.73 | |
Aetna
| Professional | $2.56 | $2.56 | $19.04 | |
Cigna
| Facility | $2.89 | $3.53 | $3.92 | |
Cigna
| Professional | $2.21 | $2.21 | $2.21 | |
United
| Professional | $2.21 | $2.21 | $2.21 |