| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $10.00 | $10.96 | $12.88 | |
Cigna
| Facility | $8.91 | $8.91 | $8.91 | |
Cigna
| Professional | $15.85 | $15.85 | $19.50 | |
United
| Professional | $5.37 | $8.32 | $20.42 |