| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.05 | $17.05 | $17.05 | |
Aetna
| Professional | $3.85 | $3.85 | $4.46 | |
Cigna
| Facility | $3.49 | $3.49 | $3.49 | |
Cigna
| Professional | $3.49 | $3.49 | $3.49 | |
United
| Professional | $4.20 | $5.25 | $5.25 |