| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.53 | $12.60 | $27.08 | |
Aetna
| Professional | $10.53 | $10.54 | $12.97 | |
Cigna
| Facility | $14.22 | $14.22 | $14.22 | |
Cigna
| Professional | $10.54 | $10.54 | $10.54 | |
United
| Professional | $10.54 | $11.17 | $15.81 |