| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.11 | $21.11 | $21.11 | |
Aetna
| Professional | $14.50 | $15.24 | $15.24 | |
Cigna
| Facility | $11.93 | $11.93 | $11.93 | |
Cigna
| Professional | $11.72 | $21.06 | $30.92 | |
United
| Professional | $7.71 | $11.01 | $22.94 |