| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.14 | $15.14 | |
Aetna
| Professional | $18.20 | $25.70 | $33.88 | |
Cigna
| Facility | $57.54 | $57.54 | $57.54 | |
Cigna
| Professional | $16.22 | $173.78 | $173.78 | |
United
| Professional | $17.78 | $25.70 | $41.69 |