| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.49 | $21.38 | $269.15 | |
Aetna
| Professional | $14.13 | $15.14 | $56.23 | |
Cigna
| Facility | $12.02 | $12.02 | $12.02 | |
Cigna
| Professional | $13.49 | $21.38 | $34.67 | |
United
| Professional | $6.61 | $11.22 | $28.18 |