| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.68 | $9.68 | $9.68 | |
Aetna
| Professional | $9.68 | $11.95 | $15.14 | |
Cigna
| Facility | $16.03 | $16.03 | $16.03 | |
Cigna
| Professional | $11.32 | $15.80 | $59.24 | |
United
| Professional | $9.22 | $14.34 | $26.48 |