| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.55 | $19.55 | $19.55 | |
Aetna
| Professional | $13.43 | $14.11 | $14.11 | |
Cigna
| Facility | $11.05 | $11.05 | $11.05 | |
Cigna
| Professional | $12.08 | $19.82 | $31.41 | |
United
| Professional | $7.14 | $10.19 | $23.44 |