| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.55 | $22.55 | $171.90 | |
Aetna
| Professional | $15.49 | $16.28 | $16.28 | |
Cigna
| Facility | $12.75 | $12.75 | $12.75 | |
Cigna
| Professional | $12.08 | $22.72 | $31.41 | |
United
| Professional | $8.24 | $11.77 | $29.42 |