| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.76 | $1.76 | $1.76 | |
Aetna
| Professional | $1.70 | $1.76 | $1.76 | |
Cigna
| Professional | $0.75 | $0.75 | $0.94 | |
United
| Facility | $0.04 | $1.67 | $1.67 | |
United
| Professional | $1.67 | $4.17 | $4.17 |