| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.51 | $29.51 | $29.51 | |
Aetna
| Professional | $12.88 | $15.85 | $21.88 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $10.72 | $20.89 | $44.67 | |
United
| Facility | $19.50 | $19.50 | $19.50 | |
United
| Professional | $16.22 | $21.88 | $36.31 |