| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.07 | $19.07 | $19.07 | |
Aetna
| Professional | $13.11 | $13.77 | $13.77 | |
Cigna
| Facility | $10.78 | $10.78 | $10.78 | |
Cigna
| Professional | $11.90 | $19.00 | $30.92 | |
United
| Professional | $6.97 | $9.94 | $23.18 |