| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.73 | $46.74 | $110.59 | |
Aetna
| Professional | $17.73 | $17.73 | $17.73 | |
Cigna
| Facility | $14.40 | $18.69 | $25.34 | |
Cigna
| Professional | $15.30 | $15.30 | $15.30 | |
United
| Professional | $15.30 | $15.30 | $15.30 |