| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.14 | |
Aetna
| Professional | $10.00 | $10.00 | $39.81 | |
Cigna
| Facility | $8.51 | $8.51 | $8.51 | |
Cigna
| Professional | $9.33 | $15.14 | $24.55 | |
United
| Professional | $5.25 | $8.13 | $19.95 |