| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.06 | $23.06 | $23.06 | |
Aetna
| Professional | $13.43 | $13.43 | $16.64 | |
Cigna
| Facility | $13.03 | $13.03 | $13.03 | |
Cigna
| Professional | $14.39 | $16.13 | $40.10 | |
United
| Professional | $9.02 | $16.80 | $44.11 |