| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $18.62 | $18.62 | |
Aetna
| Professional | $12.02 | $12.88 | $48.98 | |
Cigna
| Facility | $10.72 | $10.72 | $10.72 | |
Cigna
| Professional | $6.76 | $17.78 | $23.99 | |
United
| Professional | $4.68 | $7.94 | $24.55 |