| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.54 | $2.54 | $2.54 | |
Aetna
| Professional | $2.54 | $2.54 | $2.96 | |
Cigna
| Facility | $2.54 | $2.54 | $2.54 | |
Cigna
| Professional | $2.54 | $2.54 | $5.17 | |
United
| Professional | $2.16 | $2.54 | $3.05 |