| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.26 | $13.26 | $13.26 | |
Aetna
| Professional | $9.11 | $9.57 | $9.57 | |
Cigna
| Facility | $7.49 | $7.49 | $7.49 | |
Cigna
| Professional | $8.35 | $13.22 | $21.60 | |
United
| Professional | $4.84 | $6.92 | $16.10 |