| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.09 | $20.72 | $333.06 | |
Aetna
| Professional | $15.33 | $16.09 | $20.69 | |
Cigna
| Facility | $15.32 | $15.32 | $21.56 | |
Cigna
| Professional | $15.32 | $15.32 | $15.32 | |
United
| Professional | $14.72 | $15.33 | $19.93 |