| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $18.20 | |
Aetna
| Professional | $12.02 | $12.88 | $47.86 | |
Cigna
| Facility | $10.47 | $10.47 | $10.47 | |
Cigna
| Professional | $11.48 | $18.20 | $30.20 | |
United
| Professional | $5.25 | $9.77 | $23.99 |