| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.79 | $18.30 | $85.26 | |
Aetna
| Professional | $11.59 | $16.98 | $18.98 | |
Cigna
| Facility | $17.32 | $17.32 | $17.32 | |
Cigna
| Professional | $17.32 | $17.32 | $17.32 | |
United
| Professional | $20.38 | $20.38 | $27.43 |