| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $13.18 | $19.95 | $25.12 | |
Cigna
| Professional | $23.44 | $23.44 | $28.18 | |
United
| Facility | $16.60 | $19.95 | $21.38 | |
United
| Professional | $16.60 | $21.38 | $33.88 |