| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $10.00 | $60.26 | |
Aetna
| Professional | $3.02 | $3.02 | $7.41 | |
Cigna
| Facility | $3.02 | $3.02 | $3.02 | |
Cigna
| Professional | $3.02 | $3.02 | $3.02 | |
United
| Professional | $2.95 | $3.02 | $5.50 |