| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.40 | $3.40 | $10.61 | |
Aetna
| Professional | $3.40 | $3.40 | $3.40 | |
Cigna
| Professional | $3.75 | $3.75 | $4.63 | |
Health Alliance Plan
| Facility | $3.40 | $5.95 | $10.61 | |
Health Alliance Plan
| Professional | $3.40 | $3.68 | $4.51 | |
United
| Professional | $3.75 | $3.75 | $3.98 |