| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.60 | $11.60 | $11.60 | |
Aetna
| Professional | $3.03 | $3.03 | $3.03 | |
Cigna
| Facility | $2.19 | $2.19 | $2.19 | |
Cigna
| Professional | $2.19 | $2.19 | $2.19 | |
United
| Professional | $2.06 | $3.57 | $3.57 |