| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.94 | $17.94 | $18.20 | |
Aetna
| Professional | $17.94 | $19.76 | $36.40 | |
Cigna
| Facility | $25.73 | $25.73 | $25.73 | |
Cigna
| Professional | $18.97 | $18.97 | $18.97 | |
United
| Professional | $20.02 | $26.00 | $45.94 |