| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.79 | $17.79 | $17.79 | |
Aetna
| Professional | $12.22 | $12.84 | $12.84 | |
Cigna
| Facility | $10.06 | $10.06 | $10.06 | |
Cigna
| Professional | $10.11 | $17.76 | $26.50 | |
United
| Professional | $6.50 | $9.27 | $19.80 |