| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.18 | $31.09 | $108.75 | |
Aetna
| Professional | $10.76 | $11.75 | $15.10 | |
Cigna
| Facility | $6.33 | $11.19 | $11.19 | |
Cigna
| Professional | $11.19 | $11.19 | $11.19 | |
United
| Professional | $10.74 | $11.19 | $14.32 |