| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.23 | $24.23 | $24.23 | |
Aetna
| Professional | $16.64 | $17.48 | $17.48 | |
Cigna
| Facility | $13.70 | $13.70 | $13.70 | |
Cigna
| Professional | $15.10 | $24.37 | $39.27 | |
United
| Professional | $8.85 | $12.92 | $31.61 |