| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.86 | $12.86 | $12.86 | |
Aetna
| Professional | $12.86 | $12.86 | $15.43 | |
Cigna
| Facility | $12.86 | $12.86 | $12.86 | |
Cigna
| Professional | $12.86 | $12.86 | $14.07 | |
United
| Professional | $11.57 | $12.86 | $14.52 |