| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $23.99 | $23.99 | |
Aetna
| Professional | $19.05 | $19.95 | $23.99 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $109.65 | $109.65 | $109.65 | |
United
| Professional | $14.13 | $19.50 | $19.50 |