| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.39 | $18.39 | $18.39 | |
Aetna
| Professional | $12.63 | $13.27 | $13.27 | |
Cigna
| Facility | $10.39 | $10.39 | $10.39 | |
Cigna
| Professional | $11.54 | $18.17 | $29.94 | |
United
| Professional | $6.72 | $9.59 | $22.33 |