| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $79.97 | $308.30 | |
Aetna
| Professional | $13.18 | $13.18 | $13.18 | |
Cigna
| Facility | $17.43 | $19.68 | $30.59 | |
Cigna
| Professional | $11.36 | $11.36 | $11.36 | |
United
| Professional | $11.36 | $11.36 | $11.36 |