| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $12.88 | $114.82 | |
Aetna
| Professional | $12.88 | $14.13 | $15.14 | |
Cigna
| Facility | $30.20 | $31.62 | $70.79 | |
Cigna
| Professional | $21.38 | $21.38 | $26.92 | |
United
| Facility | $22.39 | $22.39 | $22.39 | |
United
| Professional | $7.76 | $11.22 | $23.44 |