| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.75 | $23.75 | $23.75 | |
Aetna
| Professional | $16.30 | $17.14 | $17.14 | |
Cigna
| Facility | $13.42 | $13.42 | $13.42 | |
Cigna
| Professional | $14.74 | $23.95 | $38.78 | |
United
| Professional | $8.67 | $12.39 | $28.85 |