| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.12 | $24.12 | $24.12 | |
Aetna
| Professional | $5.94 | $5.94 | $6.31 | |
Cigna
| Facility | $4.76 | $4.76 | $4.76 | |
Cigna
| Professional | $4.76 | $4.76 | $4.76 | |
United
| Professional | $4.76 | $4.76 | $4.90 |