| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.19 | $12.19 | $12.19 | |
Aetna
| Professional | $3.00 | $3.00 | $3.19 | |
Cigna
| Facility | $2.85 | $2.85 | $2.85 | |
Cigna
| Professional | $2.85 | $2.85 | $2.85 | |
United
| Professional | $2.95 | $3.75 | $3.75 |