| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.24 | $12.24 | $12.24 | |
Aetna
| Professional | $8.41 | $8.83 | $8.83 | |
Cigna
| Facility | $6.92 | $6.92 | $6.92 | |
Cigna
| Professional | $7.64 | $12.39 | $20.12 | |
United
| Professional | $4.47 | $6.02 | $14.87 |