| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.00 | $19.82 | $58.50 | |
Aetna
| Professional | $12.00 | $12.00 | $12.00 | |
Cigna
| Facility | $6.05 | $7.86 | $15.77 | |
Cigna
| Professional | $10.34 | $10.34 | $10.34 | |
United
| Professional | $9.82 | $10.34 | $10.34 |