| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $14.13 | $14.13 | |
Aetna
| Professional | $18.20 | $25.70 | $33.11 | |
Cigna
| Facility | $53.70 | $53.70 | $53.70 | |
Cigna
| Professional | $18.62 | $162.18 | $162.18 | |
United
| Facility | $36.31 | $36.31 | $36.31 | |
United
| Professional | $22.39 | $33.11 | $58.88 |