| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.20 | $18.20 | $21.38 | |
Aetna
| Professional | $16.98 | $16.98 | $20.89 | |
Cigna
| Facility | $17.78 | $17.78 | $17.78 | |
Cigna
| Professional | $17.78 | $17.78 | $17.78 | |
United
| Professional | $16.98 | $17.78 | $27.54 |