| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.67 | $27.67 | $27.67 | |
Aetna
| Professional | $19.01 | $19.97 | $19.97 | |
Cigna
| Facility | $15.64 | $15.64 | $15.64 | |
Cigna
| Professional | $12.61 | $27.67 | $34.59 | |
United
| Professional | $8.75 | $11.83 | $24.65 |