| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.59 | $16.59 | $16.59 | |
Aetna
| Professional | $14.39 | $16.59 | $18.55 | |
Cigna
| Facility | $21.36 | $21.36 | $21.36 | |
Cigna
| Professional | $15.77 | $15.77 | $82.61 | |
United
| Professional | $14.16 | $22.23 | $31.05 |