| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.78 | $20.03 | $237.15 | |
Aetna
| Professional | $17.78 | $17.78 | $17.78 | |
Cigna
| Facility | $19.75 | $23.94 | $25.65 | |
Cigna
| Professional | $15.32 | $15.32 | $15.32 | |
United
| Professional | $15.33 | $15.33 | $15.33 |