| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.57 | $15.57 | $15.57 | |
Aetna
| Professional | $10.70 | $11.24 | $11.24 | |
Cigna
| Facility | $8.80 | $8.80 | $8.80 | |
Cigna
| Professional | $9.24 | $15.69 | $25.52 | |
United
| Professional | $5.69 | $8.11 | $18.44 |