| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $12.64 | $13.28 | $13.28 | |
Cigna
| Facility | $10.40 | $10.40 | $10.40 | |
Cigna
| Professional | $18.17 | $18.17 | $22.72 | |
United
| Professional | $5.60 | $7.68 | $16.00 |