| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.44 | $140.34 | $272.72 | |
Aetna
| Professional | $11.44 | $11.44 | $47.60 | |
Cigna
| Facility | $12.88 | $14.55 | $18.96 | |
Cigna
| Professional | $9.86 | $9.86 | $9.86 | |
United
| Professional | $9.86 | $9.86 | $9.86 |