| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $8.91 | |
Aetna
| Professional | $7.94 | $10.96 | $15.14 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $13.49 | $13.49 | $190.55 | |
United
| Professional | $8.51 | $14.13 | $25.70 |