| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.25 | $23.25 | $23.25 | |
Aetna
| Professional | $15.97 | $16.78 | $16.78 | |
Cigna
| Facility | $13.14 | $13.14 | $13.14 | |
Cigna
| Professional | $14.56 | $23.54 | $37.79 | |
United
| Professional | $8.49 | $12.13 | $28.24 |