| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.25 | $17.25 | $17.25 | |
Aetna
| Professional | $11.85 | $12.45 | $12.45 | |
Cigna
| Facility | $9.75 | $9.75 | $9.75 | |
Cigna
| Professional | $8.52 | $16.93 | $22.58 | |
United
| Professional | $5.95 | $8.03 | $16.76 |