| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $17.78 | $17.78 | |
Aetna
| Professional | $12.02 | $12.02 | $46.77 | |
Cigna
| Facility | $10.00 | $10.00 | $10.00 | |
Cigna
| Professional | $10.00 | $17.78 | $26.30 | |
United
| Professional | $6.46 | $9.55 | $23.44 |