| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.59 | $14.03 | $154.13 | |
Aetna
| Professional | $9.59 | $9.94 | $14.03 | |
Cigna
| Facility | $3.25 | $9.94 | $9.94 | |
Cigna
| Professional | $9.94 | $9.94 | $9.94 | |
United
| Professional | $9.35 | $9.74 | $12.47 |