| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.00 | $13.00 | $13.00 | |
Aetna
| Professional | $8.93 | $9.38 | $9.38 | |
Cigna
| Facility | $7.35 | $7.35 | $7.35 | |
Cigna
| Professional | $8.17 | $13.22 | $21.11 | |
United
| Professional | $4.75 | $6.78 | $15.78 |