| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.36 | $13.36 | $16.32 | |
Aetna
| Professional | $10.97 | $11.76 | $15.88 | |
Cigna
| Professional | $11.97 | $18.12 | $22.81 | |
United
| Facility | $500.00 | $500.00 | $500.00 | |
United
| Professional | $15.64 | $22.89 | $36.21 |