| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.63 | $57.96 | $207.00 | |
Aetna
| Professional | $1.40 | $1.48 | $1.70 | |
Cigna
| Facility | $0.63 | $1.41 | $1.41 | |
Cigna
| Professional | $1.41 | $1.41 | $1.41 | |
United
| Professional | $1.41 | $1.41 | $1.56 |