| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.80 | $17.80 | $17.80 | |
Aetna
| Professional | $12.24 | $12.86 | $12.86 | |
Cigna
| Facility | $10.07 | $10.07 | $10.07 | |
Cigna
| Professional | $11.19 | $17.76 | $28.96 | |
United
| Professional | $6.51 | $9.28 | $21.64 |