| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.02 | $3.02 | $3.02 | |
Aetna
| Professional | $3.02 | $3.02 | $3.09 | |
Cigna
| Facility | $2.95 | $3.09 | $23.99 | |
Cigna
| Professional | $3.09 | $15.49 | $15.49 | |
United
| Professional | $3.02 | $3.09 | $23.99 |