| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.49 | $2.49 | $2.49 | |
Aetna
| Professional | $2.49 | $2.49 | $2.98 | |
Cigna
| Facility | $2.49 | $2.49 | $2.49 | |
Cigna
| Professional | $2.49 | $2.49 | $19.73 | |
United
| Professional | $2.24 | $2.49 | $2.99 |