| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.05 | $50.05 | $50.05 | |
Aetna
| Professional | $11.90 | $11.90 | $13.09 | |
Cigna
| Facility | $8.94 | $8.94 | $8.94 | |
Cigna
| Professional | $8.94 | $8.94 | $8.94 | |
United
| Professional | $6.31 | $15.40 | $15.40 |