| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.11 | $20.11 | $20.11 | |
Aetna
| Professional | $13.82 | $14.52 | $14.52 | |
Cigna
| Facility | $11.37 | $11.37 | $11.37 | |
Cigna
| Professional | $6.93 | $20.23 | $25.30 | |
United
| Professional | $4.20 | $7.35 | $13.37 |