| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.46 | $19.19 | $19.19 | |
Aetna
| Professional | $7.47 | $11.27 | $14.40 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $6.98 | $19.82 | $105.33 | |
United
| Professional | $10.24 | $14.33 | $28.16 |