| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $104.71 | |
Aetna
| Professional | $12.02 | $12.88 | $16.98 | |
Cigna
| Facility | $28.18 | $29.51 | $66.07 | |
Cigna
| Professional | $19.95 | $19.95 | $24.55 | |
United
| Facility | $20.89 | $20.89 | $20.89 | |
United
| Professional | $7.24 | $10.47 | $21.38 |