| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.79 | $14.79 | $14.79 | |
Aetna
| Professional | $10.00 | $10.00 | $38.02 | |
Cigna
| Facility | $8.32 | $8.32 | $8.32 | |
Cigna
| Professional | $8.51 | $14.45 | $22.39 | |
United
| Professional | $5.37 | $7.94 | $19.05 |