| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.23 | $22.49 | $241.96 | |
Aetna
| Professional | $15.45 | $16.23 | $16.23 | |
Cigna
| Facility | $12.71 | $12.71 | $12.71 | |
Cigna
| Professional | $14.03 | $22.30 | $36.32 | |
United
| Professional | $8.22 | $11.74 | $29.22 |