| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.51 | $22.51 | $22.51 | |
Aetna
| Professional | $15.46 | $15.46 | $15.46 | |
Cigna
| Facility | $12.72 | $12.72 | $12.72 | |
Cigna
| Professional | $10.29 | $20.63 | $25.78 | |
United
| Professional | $6.80 | $8.22 | $19.30 |