| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.48 | $23.48 | $23.48 | |
Aetna
| Professional | $16.13 | $16.95 | $16.95 | |
Cigna
| Facility | $13.27 | $13.27 | $13.27 | |
Cigna
| Professional | $14.56 | $23.54 | $38.28 | |
United
| Professional | $8.58 | $12.52 | $28.53 |