| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.89 | $18.89 | $18.89 | |
Aetna
| Professional | $12.98 | $13.64 | $13.64 | |
Cigna
| Facility | $10.68 | $10.68 | $10.68 | |
Cigna
| Professional | $8.52 | $19.00 | $23.75 | |
United
| Professional | $5.95 | $8.03 | $16.76 |