| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.63 | $224.18 | $522.33 | |
Aetna
| Professional | $5.63 | $105.83 | $137.00 | |
Cigna
| Facility | $5.73 | $6.97 | $7.44 | |
Cigna
| Professional | $4.86 | $4.86 | $4.86 | |
United
| Professional | $4.86 | $4.86 | $4.86 |