| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.57 | $31.57 | $31.57 | |
Aetna
| Professional | $21.57 | $22.36 | $31.57 | |
Cigna
| Facility | $21.05 | $21.05 | $23.16 | |
Cigna
| Professional | $21.05 | $21.05 | $21.05 | |
United
| Professional | $20.21 | $21.05 | $27.37 |