| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.57 | $25.80 | $111.15 | |
Aetna
| Professional | $8.57 | $8.57 | $25.03 | |
Cigna
| Facility | $2.00 | $2.83 | $3.35 | |
Cigna
| Professional | $7.39 | $7.39 | $7.39 | |
United
| Professional | $7.39 | $7.39 | $7.39 |