| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.14 | $15.85 | $15.85 | |
Aetna
| Professional | $15.14 | $15.14 | $15.85 | |
Cigna
| Facility | $14.13 | $15.14 | $85.11 | |
Cigna
| Professional | $15.14 | $64.57 | $64.57 | |
United
| Facility | $15.14 | $15.14 | $15.14 | |
United
| Professional | $14.79 | $15.14 | $18.62 |