| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.56 | $18.82 | $65.06 | |
Aetna
| Professional | $15.68 | $15.69 | $18.82 | |
Cigna
| Facility | $5.50 | $15.69 | $15.69 | |
Cigna
| Professional | $15.69 | $15.69 | $15.69 | |
United
| Professional | $15.06 | $15.69 | $20.07 |