| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.47 | $9.47 | $9.47 | |
Aetna
| Professional | $6.47 | $7.89 | $9.47 | |
Cigna
| Facility | $6.71 | $6.71 | $6.71 | |
Cigna
| Professional | $6.71 | $6.71 | $6.71 | |
United
| Professional | $5.92 | $6.58 | $8.55 |