| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.80 | $13.80 | $13.80 | |
Aetna
| Professional | $7.94 | $8.91 | $12.59 | |
Cigna
| Facility | $7.94 | $7.94 | $7.94 | |
Cigna
| Professional | $6.76 | $9.77 | $23.44 | |
United
| Professional | $5.13 | $7.24 | $12.02 |