| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.27 | $17.27 | $17.27 | |
Aetna
| Professional | $11.87 | $12.47 | $12.47 | |
Cigna
| Facility | $9.76 | $9.76 | $9.76 | |
Cigna
| Professional | $10.83 | $16.93 | $27.98 | |
United
| Professional | $6.31 | $7.80 | $20.99 |