| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.42 | $22.42 | $82.07 | |
Aetna
| Professional | $22.42 | $22.42 | $22.42 | |
Cigna
| Facility | $24.17 | $28.77 | $31.38 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
United
| Professional | $18.36 | $19.32 | $19.32 |