| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.32 | $17.32 | $17.32 | |
Aetna
| Professional | $17.32 | $20.58 | $26.45 | |
Cigna
| Facility | $24.55 | $24.55 | $24.55 | |
Cigna
| Professional | $19.60 | $27.50 | $102.91 | |
United
| Professional | $15.80 | $24.57 | $46.81 |