| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.85 | $15.85 | $15.85 | |
Aetna
| Professional | $10.00 | $10.96 | $41.69 | |
Cigna
| Facility | $9.12 | $9.12 | $9.12 | |
Cigna
| Professional | $10.00 | $16.22 | $26.30 | |
United
| Professional | $5.89 | $8.51 | $20.89 |