| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $12.02 | |
Aetna
| Professional | $7.94 | $12.02 | $15.14 | |
Cigna
| Facility | $28.84 | $28.84 | $28.84 | |
Cigna
| Professional | $7.24 | $7.24 | $7.24 | |
United
| Facility | $10.96 | $10.96 | $10.96 | |
United
| Professional | $5.01 | $7.59 | $10.96 |