| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Cigna
| Facility | $6.76 | $6.76 | $6.76 | |
Cigna
| Professional | $6.76 | $6.76 | $6.76 | |
United
| Facility | $0.07 | $0.07 | $0.66 | |
United
| Professional | $3.80 | $6.61 | $6.92 |