| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.75 | $35.60 | $98.46 | |
Aetna
| Professional | $18.78 | $21.31 | $28.77 | |
Cigna
| Facility | $6.99 | $21.31 | $21.31 | |
Cigna
| Professional | $21.31 | $21.31 | $21.31 | |
United
| Professional | $20.46 | $21.31 | $27.70 |