| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.07 | $15.07 | $15.07 | |
Aetna
| Professional | $10.35 | $10.84 | $10.87 | |
Cigna
| Facility | $8.52 | $8.52 | $8.52 | |
Cigna
| Professional | $8.52 | $14.87 | $22.58 | |
United
| Professional | $5.50 | $7.86 | $17.52 |