| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.44 | $23.44 | $23.44 | |
Aetna
| Professional | $15.85 | $15.85 | $61.66 | |
Cigna
| Facility | $13.18 | $13.18 | $13.18 | |
Cigna
| Professional | $14.45 | $23.44 | $38.02 | |
United
| Professional | $8.51 | $13.80 | $30.90 |