| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.24 | $22.24 | $24.52 | |
Aetna
| Professional | $14.20 | $22.24 | $27.44 | |
Cigna
| Facility | $40.26 | $40.26 | $40.26 | |
Cigna
| Professional | $29.16 | $29.16 | $152.79 | |
United
| Professional | $19.19 | $30.69 | $45.37 |