| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.65 | $15.65 | $15.65 | |
Aetna
| Professional | $10.75 | $11.30 | $11.30 | |
Cigna
| Facility | $8.85 | $8.85 | $8.85 | |
Cigna
| Professional | $8.52 | $15.69 | $22.58 | |
United
| Professional | $5.72 | $8.03 | $16.76 |