| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.18 | $31.18 | $31.18 | |
Aetna
| Professional | $21.42 | $22.50 | $22.50 | |
Cigna
| Facility | $17.62 | $17.62 | $17.62 | |
Cigna
| Professional | $12.25 | $31.39 | $39.24 | |
United
| Professional | $8.61 | $11.82 | $24.63 |