| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.57 | $17.57 | $17.57 | |
Aetna
| Professional | $12.08 | $12.69 | $12.69 | |
Cigna
| Facility | $9.94 | $9.94 | $9.94 | |
Cigna
| Professional | $8.52 | $17.35 | $22.58 | |
United
| Professional | $5.95 | $9.17 | $16.76 |