| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.98 | $29.98 | $29.98 | |
Aetna
| Professional | $17.47 | $17.47 | $21.64 | |
Cigna
| Facility | $16.95 | $16.95 | $16.95 | |
Cigna
| Professional | $18.64 | $21.05 | $52.60 | |
United
| Professional | $10.95 | $22.00 | $57.35 |