| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.37 | $19.37 | $19.37 | |
Aetna
| Professional | $13.30 | $13.98 | $13.98 | |
Cigna
| Facility | $10.95 | $10.95 | $10.95 | |
Cigna
| Professional | $12.08 | $19.41 | $31.41 | |
United
| Professional | $7.07 | $10.10 | $25.14 |