| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.49 | $15.49 | $15.49 | |
Aetna
| Professional | $7.59 | $10.96 | $39.81 | |
Cigna
| Facility | $8.71 | $8.71 | $8.71 | |
Cigna
| Professional | $3.72 | $9.77 | $19.05 | |
United
| Professional | $2.57 | $4.37 | $19.95 |