| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.40 | $14.40 | $14.40 | |
Aetna
| Professional | $9.89 | $10.39 | $10.39 | |
Cigna
| Facility | $8.14 | $8.14 | $8.14 | |
Cigna
| Professional | $9.06 | $14.46 | $23.56 | |
United
| Professional | $5.26 | $7.51 | $17.51 |