| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $25.12 | $25.12 | |
Aetna
| Professional | $16.98 | $18.20 | $66.07 | |
Cigna
| Facility | $14.45 | $14.45 | $14.45 | |
Cigna
| Professional | $15.85 | $25.12 | $41.69 | |
United
| Professional | $9.33 | $14.79 | $33.11 |