| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.22 | $22.22 | $22.22 | |
Aetna
| Professional | $15.26 | $16.04 | $16.04 | |
Cigna
| Facility | $12.56 | $12.56 | $12.56 | |
Cigna
| Professional | $13.50 | $22.30 | $35.34 | |
United
| Professional | $8.11 | $11.60 | $28.98 |