| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.21 | $25.21 | $25.21 | |
Aetna
| Professional | $14.69 | $14.69 | $18.19 | |
Cigna
| Facility | $14.25 | $14.25 | $14.25 | |
Cigna
| Professional | $14.39 | $16.13 | $40.10 | |
United
| Professional | $9.21 | $16.80 | $48.22 |