| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.66 | $14.66 | $14.66 | |
Aetna
| Professional | $10.78 | $14.66 | $29.56 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $8.38 | $8.38 | $16.39 | |
United
| Professional | $15.00 | $15.00 | $15.00 |