| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.35 | $1.35 | $1.35 | |
Aetna
| Professional | $1.35 | $1.35 | $1.62 | |
Cigna
| Facility | $1.35 | $1.35 | $1.35 | |
Cigna
| Professional | $1.35 | $1.35 | $1.91 | |
United
| Professional | $1.12 | $1.35 | $1.35 |