| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.23 | $23.23 | $23.23 | |
Aetna
| Professional | $15.96 | $16.77 | $16.77 | |
Cigna
| Facility | $13.13 | $13.13 | $13.13 | |
Cigna
| Professional | $14.56 | $23.13 | $37.79 | |
United
| Professional | $8.48 | $12.12 | $28.22 |