| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $17.38 | |
Aetna
| Professional | $10.96 | $12.02 | $16.98 | |
Cigna
| Facility | $14.45 | $14.45 | $14.45 | |
Cigna
| Professional | $14.45 | $14.45 | $14.45 | |
United
| Professional | $14.45 | $14.45 | $23.44 |