| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.35 | $10.35 | $10.50 | |
Aetna
| Professional | $10.35 | $12.00 | $72.20 | |
Cigna
| Facility | $15.66 | $15.66 | $15.66 | |
Cigna
| Professional | $11.55 | $11.55 | $11.55 | |
United
| Professional | $11.85 | $15.00 | $26.60 |