| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.30 | $17.30 | $17.30 | |
Aetna
| Professional | $11.89 | $12.49 | $12.49 | |
Cigna
| Facility | $9.77 | $9.77 | $9.77 | |
Cigna
| Professional | $10.83 | $17.35 | $27.98 | |
United
| Professional | $9.60 | $12.04 | $21.03 |