| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.52 | $9.52 | $9.52 | |
Aetna
| Professional | $7.65 | $17.89 | $26.58 | |
Cigna
| Facility | $26.78 | $26.78 | $26.78 | |
Cigna
| Professional | $21.43 | $21.43 | $112.26 | |
United
| Professional | $6.81 | $11.22 | $17.55 |