| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.43 | $23.43 | $23.43 | |
Aetna
| Professional | $16.09 | $16.91 | $16.91 | |
Cigna
| Facility | $13.24 | $13.24 | $13.24 | |
Cigna
| Professional | $3.20 | $23.54 | $29.43 | |
United
| Professional | $2.25 | $6.35 | $12.22 |