| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $147.91 | $173.78 | |
Aetna
| Professional | $10.00 | $10.00 | $38.90 | |
Cigna
| Facility | $8.32 | $8.32 | $8.32 | |
Cigna
| Professional | $9.33 | $14.79 | $23.99 | |
United
| Professional | $5.25 | $7.94 | $19.50 |