| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.98 | $16.98 | $17.78 | |
Aetna
| Professional | $15.85 | $16.98 | $19.95 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $18.62 | $18.62 | $18.62 | |
United
| Professional | $19.95 | $20.89 | $20.89 |