| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.88 | $22.88 | $22.88 | |
Aetna
| Professional | $5.63 | $5.63 | $5.98 | |
Cigna
| Facility | $6.17 | $6.17 | $6.17 | |
Cigna
| Professional | $6.17 | $6.17 | $6.17 | |
United
| Professional | $12.20 | $12.20 | $18.01 |