| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.95 | $12.95 | $12.95 | |
Aetna
| Professional | $8.90 | $9.35 | $9.35 | |
Cigna
| Facility | $7.32 | $7.32 | $7.32 | |
Cigna
| Professional | $7.99 | $13.22 | $21.11 | |
United
| Professional | $4.73 | $6.76 | $15.73 |