| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.18 | $24.05 | $27.90 | |
Aetna
| Professional | $23.18 | $24.05 | $24.63 | |
Cigna
| Facility | $23.92 | $24.63 | $24.63 | |
Cigna
| Professional | $24.63 | $24.63 | $24.63 | |
United
| Facility | $25.05 | $25.05 | $25.05 | |
Wellpoint
| Professional | $21.97 | $21.97 | $21.97 |