| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.39 | $22.39 | $173.78 | |
Aetna
| Professional | $15.14 | $15.85 | $58.88 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $12.02 | $22.91 | $31.62 | |
United
| Professional | $4.68 | $11.75 | $109.65 |