| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.77 | $21.77 | $21.77 | |
Aetna
| Professional | $14.95 | $15.71 | $15.71 | |
Cigna
| Facility | $12.30 | $12.30 | $12.30 | |
Cigna
| Professional | $13.68 | $21.89 | $35.34 | |
United
| Professional | $7.95 | $11.61 | $28.40 |