| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $27.54 | $27.54 | |
Aetna
| Professional | $16.22 | $19.05 | $72.44 | |
Cigna
| Facility | $15.49 | $15.49 | $15.49 | |
Cigna
| Professional | $12.59 | $27.54 | $34.67 | |
United
| Professional | $8.71 | $14.45 | $36.31 |