| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.66 | $14.66 | $14.66 | |
Aetna
| Professional | $10.07 | $10.58 | $10.58 | |
Cigna
| Facility | $8.28 | $8.28 | $8.28 | |
Cigna
| Professional | $8.35 | $14.46 | $21.60 | |
United
| Professional | $5.36 | $7.14 | $16.26 |