| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.88 | $47.86 | $85.11 | |
Aetna
| Professional | $12.88 | $12.88 | $15.14 | |
Cigna
| Facility | $12.88 | $12.88 | $12.88 | |
Cigna
| Professional | $12.88 | $12.88 | $12.88 | |
United
| Professional | $12.59 | $12.88 | $23.44 |