| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.50 | $16.50 | $114.44 | |
Aetna
| Professional | $11.34 | $11.91 | $11.91 | |
Cigna
| Facility | $9.33 | $9.33 | $9.33 | |
Cigna
| Professional | $10.30 | $16.52 | $27.00 | |
United
| Professional | $6.03 | $8.61 | $20.05 |