| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.05 | $35.77 | $86.07 | |
Aetna
| Professional | $15.30 | $16.05 | $20.65 | |
Cigna
| Facility | $0.50 | $15.30 | $15.30 | |
Cigna
| Professional | $15.30 | $15.30 | $15.30 | |
United
| Professional | $14.69 | $15.30 | $19.89 |