| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $14.13 | $15.14 | $18.20 | |
Cigna
| Facility | $11.75 | $11.75 | $11.75 | |
Cigna
| Professional | $20.42 | $20.42 | $25.70 | |
United
| Professional | $6.31 | $10.96 | $26.92 |