| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.27 | $34.27 | $34.27 | |
Aetna
| Professional | $19.97 | $19.97 | $24.73 | |
Cigna
| Facility | $19.37 | $19.37 | $19.37 | |
Cigna
| Professional | $14.39 | $16.13 | $40.10 | |
United
| Professional | $12.52 | $44.70 | $65.56 |