| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.27 | $48.76 | $116.12 | |
Aetna
| Professional | $3.11 | $3.27 | $4.20 | |
Cigna
| Facility | $2.67 | $3.11 | $3.11 | |
Cigna
| Professional | $3.11 | $3.11 | $3.11 | |
United
| Professional | $3.11 | $3.11 | $3.98 |