| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.11 | $289.24 | $591.75 | |
Aetna
| Professional | $0.27 | $0.27 | $79.44 | |
Cigna
| Facility | $0.26 | $0.33 | $0.34 | |
Cigna
| Professional | $0.23 | $0.23 | $0.23 | |
United
| Professional | $0.56 | $0.60 | $0.60 |