| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.30 | $20.30 | $57.47 | |
Aetna
| Professional | $7.90 | $9.69 | $14.40 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $15.19 | $84.66 | $117.60 | |
United
| Professional | $11.31 | $15.67 | $31.45 |