| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.59 | $20.59 | $20.59 | |
Aetna
| Professional | $14.14 | $14.86 | $14.86 | |
Cigna
| Facility | $11.64 | $11.64 | $11.64 | |
Cigna
| Professional | $12.61 | $20.65 | $32.89 | |
United
| Professional | $7.52 | $10.74 | $24.47 |