| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.00 | $16.00 | $16.00 | |
Aetna
| Professional | $10.84 | $10.84 | $11.55 | |
Cigna
| Facility | $9.03 | $9.03 | $9.03 | |
Cigna
| Professional | $8.52 | $16.11 | $22.58 | |
United
| Professional | $5.84 | $8.03 | $16.76 |