| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.05 | $8.05 | $8.05 | |
Aetna
| Professional | $7.77 | $8.05 | $13.39 | |
Cigna
| Facility | $3.79 | $3.79 | $3.79 | |
Cigna
| Professional | $3.79 | $3.79 | $7.07 | |
United
| Professional | $3.79 | $3.79 | $3.79 |