| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.71 | $30.27 | $80.73 | |
Aetna
| Professional | $20.72 | $21.75 | $27.97 | |
Cigna
| Facility | $5.56 | $20.72 | $20.72 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
United
| Professional | $19.89 | $20.72 | $26.94 |