| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.80 | $28.36 | $95.33 | |
Aetna
| Professional | $8.94 | $10.61 | $13.59 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $15.19 | $84.66 | $117.60 | |
United
| Professional | $11.97 | $17.42 | $34.56 |