| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.19 | $19.19 | $31.03 | |
Aetna
| Professional | $19.19 | $19.19 | $19.19 | |
Cigna
| Facility | $16.22 | $21.06 | $25.44 | |
Cigna
| Professional | $16.54 | $16.54 | $16.54 | |
United
| Professional | $15.71 | $16.54 | $16.54 |