| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.25 | $86.39 | $441.18 | |
Aetna
| Professional | $1.94 | $2.34 | $5.85 | |
Cigna
| Facility | $1.64 | $1.95 | $1.95 | |
Cigna
| Professional | $1.95 | $1.95 | $1.95 | |
United
| Professional | $1.95 | $1.95 | $2.50 |