| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.19 | $77.28 | $107.64 | |
Aetna
| Professional | $11.98 | $16.20 | $32.95 | |
Cigna
| Facility | $13.37 | $13.37 | $13.37 | |
Cigna
| Professional | $9.73 | $21.73 | $45.98 | |
United
| Professional | $16.36 | $41.38 | $53.88 |