| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $38.02 | |
Aetna
| Professional | $12.02 | $16.98 | $25.12 | |
Cigna
| Facility | $29.51 | $29.51 | $29.51 | |
Cigna
| Professional | $19.05 | $79.43 | $331.13 | |
United
| Professional | $12.02 | $60.26 | $114.82 |