| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $30.20 | |
Aetna
| Professional | $16.98 | $20.89 | $77.62 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $16.98 | $18.62 | $52.48 | |
United
| Professional | $10.96 | $17.38 | $57.54 |