| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.80 | $16.80 | $16.80 | |
Aetna
| Professional | $11.54 | $12.13 | $12.13 | |
Cigna
| Facility | $9.50 | $9.50 | $9.50 | |
Cigna
| Professional | $7.81 | $16.93 | $21.17 | |
United
| Professional | $5.43 | $7.34 | $15.29 |