| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $40.74 | |
Aetna
| Professional | $7.59 | $15.14 | $56.23 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $13.80 | $21.88 | $35.48 | |
United
| Professional | $6.92 | $11.48 | $28.18 |