| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $109.65 | |
Aetna
| Professional | $12.02 | $12.88 | $14.13 | |
Cigna
| Facility | $29.51 | $30.90 | $69.18 | |
Cigna
| Professional | $20.42 | $20.42 | $25.70 | |
United
| Facility | $21.88 | $21.88 | $21.88 | |
United
| Professional | $7.59 | $10.96 | $22.39 |