| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.75 | $21.75 | $21.75 | |
Aetna
| Professional | $14.94 | $15.70 | $15.70 | |
Cigna
| Facility | $12.29 | $12.29 | $12.29 | |
Cigna
| Professional | $13.50 | $21.48 | $35.34 | |
United
| Professional | $7.94 | $11.35 | $28.37 |