| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $9.12 | $9.12 | |
Aetna
| Professional | $8.91 | $8.91 | $10.00 | |
Cigna
| Facility | $8.71 | $9.12 | $85.11 | |
Cigna
| Professional | $9.12 | $38.02 | $38.02 | |
United
| Professional | $8.91 | $9.12 | $13.80 |