| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.33 | $34.26 | $175.00 | |
Aetna
| Professional | $11.36 | $11.93 | $15.33 | |
Cigna
| Facility | $11.36 | $11.36 | $44.97 | |
Cigna
| Professional | $11.36 | $11.36 | $11.36 | |
United
| Professional | $10.91 | $11.36 | $14.77 |