| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.98 | $54.10 | $175.50 | |
Aetna
| Professional | $12.98 | $12.98 | $12.98 | |
Cigna
| Facility | $14.36 | $18.48 | $21.25 | |
Cigna
| Professional | $11.19 | $11.19 | $11.19 | |
United
| Professional | $10.63 | $11.19 | $11.19 |