| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.02 | $12.02 | $14.45 | |
Aetna
| Professional | $12.02 | $12.02 | $14.13 | |
Cigna
| Facility | $12.02 | $12.02 | $12.02 | |
Cigna
| Professional | $12.02 | $12.02 | $12.02 | |
United
| Professional | $11.48 | $12.02 | $21.38 |