| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.73 | $17.29 | $6,486.03 | |
Aetna
| Professional | $6.73 | $6.73 | $8.47 | |
Cigna
| Facility | $6.99 | $6.99 | $6.99 | |
Cigna
| Professional | $6.73 | $6.73 | $6.73 | |
United
| Professional | $6.73 | $7.13 | $48.46 |