| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.45 | $14.45 | $14.45 | |
Aetna
| Professional | $10.00 | $10.00 | $38.02 | |
Cigna
| Facility | $8.32 | $8.32 | $8.32 | |
Cigna
| Professional | $7.24 | $14.45 | $18.62 | |
United
| Professional | $4.17 | $9.77 | $19.05 |