| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.03 | $50.62 | $117.73 | |
Aetna
| Professional | $24.03 | $24.03 | $24.03 | |
Cigna
| Facility | $25.53 | $28.83 | $33.15 | |
Cigna
| Professional | $20.72 | $20.72 | $20.72 | |
United
| Professional | $20.72 | $20.72 | $20.72 |