| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.03 | $17.03 | $17.03 | |
Aetna
| Professional | $16.43 | $17.03 | $28.32 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $16.98 | $16.98 | $31.67 | |
United
| Professional | $20.04 | $20.04 | $20.04 |