| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.68 | $19.68 | $19.68 | |
Aetna
| Professional | $13.52 | $14.20 | $14.20 | |
Cigna
| Facility | $11.12 | $11.12 | $11.12 | |
Cigna
| Professional | $11.54 | $19.82 | $29.94 | |
United
| Professional | $7.19 | $10.27 | $22.45 |