| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.04 | $22.56 | $22.56 | |
Aetna
| Professional | $9.43 | $15.04 | $15.75 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $11.56 | $12.44 | $15.55 | |
Health Alliance Plan
| Facility | $15.31 | $22.56 | $35.53 | |
Health Alliance Plan
| Professional | $15.04 | $15.31 | $19.13 | |
United
| Professional | $13.56 | $16.63 | $25.38 |