| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.10 | $18.10 | $18.10 | |
Aetna
| Professional | $12.43 | $13.06 | $13.06 | |
Cigna
| Facility | $10.23 | $10.23 | $10.23 | |
Cigna
| Professional | $11.37 | $18.17 | $29.45 | |
United
| Professional | $6.61 | $9.44 | $21.99 |