| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $12.02 | |
Aetna
| Professional | $12.02 | $15.14 | $16.98 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $14.13 | $75.86 | $75.86 | |
United
| Professional | $10.96 | $18.20 | $30.90 |