| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.80 | $20.80 | $20.80 | |
Aetna
| Professional | $14.29 | $15.11 | $15.11 | |
Cigna
| Facility | $11.76 | $11.76 | $11.76 | |
Cigna
| Professional | $9.24 | $20.77 | $25.97 | |
United
| Professional | $8.25 | $13.57 | $18.09 |