| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $120.23 | |
Aetna
| Professional | $12.88 | $15.85 | $60.26 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $12.88 | $14.45 | $39.81 | |
United
| Professional | $8.51 | $13.49 | $43.65 |