| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.15 | $15.15 | $40.68 | |
Aetna
| Professional | $15.15 | $15.15 | $15.15 | |
Cigna
| Facility | $14.22 | $17.05 | $20.35 | |
Cigna
| Professional | $13.06 | $13.06 | $13.06 | |
United
| Professional | $13.06 | $13.06 | $13.06 |