| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.05 | $11.05 | $11.05 | |
Aetna
| Professional | $10.79 | $10.79 | $11.05 | |
Cigna
| Facility | $11.05 | $11.05 | $11.05 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
United
| Professional | $11.72 | $13.00 | $13.00 |