| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.53 | $22.53 | $22.53 | |
Aetna
| Professional | $15.48 | $16.26 | $16.26 | |
Cigna
| Facility | $12.73 | $12.73 | $12.73 | |
Cigna
| Professional | $14.03 | $22.72 | $36.81 | |
United
| Professional | $8.23 | $11.75 | $27.37 |