| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.38 | $25.38 | $25.38 | |
Aetna
| Professional | $6.25 | $6.48 | $6.64 | |
Cigna
| Facility | $4.82 | $4.82 | $4.82 | |
Cigna
| Professional | $4.82 | $4.82 | $4.82 | |
United
| Professional | $0.02 | $0.02 | $0.02 |