| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.09 | $14.09 | $14.09 | |
Aetna
| Professional | $9.68 | $10.17 | $10.17 | |
Cigna
| Facility | $7.96 | $7.96 | $7.96 | |
Cigna
| Professional | $8.52 | $14.04 | $22.58 | |
United
| Professional | $5.15 | $7.35 | $16.76 |