| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.14 | |
Aetna
| Professional | $7.08 | $7.94 | $7.94 | |
Cigna
| Facility | $3.80 | $3.80 | $3.80 | |
Cigna
| Professional | $3.80 | $3.80 | $3.80 | |
United
| Professional | $3.80 | $3.80 | $4.57 |