| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.56 | $14.56 | $14.56 | |
Aetna
| Professional | $10.00 | $10.51 | $10.51 | |
Cigna
| Facility | $8.23 | $8.23 | $8.23 | |
Cigna
| Professional | $8.52 | $14.46 | $22.58 | |
United
| Professional | $5.32 | $7.60 | $16.76 |