| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.43 | $35.20 | $48.62 | |
Aetna
| Professional | $16.76 | $35.20 | $35.20 | |
Cigna
| Facility | $18.16 | $21.07 | $50.12 | |
Cigna
| Professional | $11.77 | $31.80 | $39.75 | |
United
| Facility | $25.15 | $25.15 | $25.15 | |
United
| Professional | $11.73 | $16.76 | $27.94 |