| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.80 | $20.80 | $20.80 | |
Aetna
| Professional | $14.29 | $15.01 | $15.01 | |
Cigna
| Facility | $11.76 | $11.76 | $11.76 | |
Cigna
| Professional | $20.65 | $20.65 | $25.81 | |
United
| Professional | $6.33 | $8.68 | $18.09 |