| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.54 | $22.54 | $22.54 | |
Aetna
| Professional | $15.48 | $22.87 | $22.87 | |
Cigna
| Facility | $12.74 | $12.74 | $12.74 | |
Cigna
| Professional | $14.03 | $22.72 | $36.81 | |
United
| Professional | $8.23 | $11.76 | $27.37 |