| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.75 | $11.75 | $11.75 | |
Aetna
| Professional | $7.94 | $7.94 | $30.20 | |
Cigna
| Facility | $6.61 | $6.61 | $6.61 | |
Cigna
| Professional | $7.24 | $11.48 | $19.05 | |
United
| Professional | $3.16 | $6.31 | $15.14 |