| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.98 | $28.24 | $84.11 | |
Aetna
| Professional | $13.98 | $13.98 | $13.98 | |
Cigna
| Facility | $13.52 | $15.26 | $17.55 | |
Cigna
| Professional | $12.05 | $12.05 | $12.05 | |
United
| Professional | $11.46 | $12.06 | $12.06 |