| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.42 | $26.42 | $26.42 | |
Aetna
| Professional | $18.14 | $19.07 | $19.07 | |
Cigna
| Facility | $14.93 | $14.93 | $14.93 | |
Cigna
| Professional | $12.43 | $26.43 | $33.04 | |
United
| Professional | $7.33 | $9.65 | $24.05 |