| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.22 | $5.22 | $6.51 | |
Aetna
| Professional | $5.22 | $5.22 | $5.22 | |
Cigna
| Facility | $7.87 | $8.90 | $14.40 | |
Cigna
| Professional | $4.50 | $4.50 | $4.50 | |
United
| Professional | $4.50 | $4.50 | $4.50 |