| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.94 | $20.94 | $20.94 | |
Aetna
| Professional | $8.15 | $8.15 | $9.05 | |
Cigna
| Facility | $4.91 | $4.91 | $4.91 | |
Cigna
| Professional | $8.15 | $8.15 | $8.15 | |
United
| Professional | $8.15 | $9.07 | $35.34 |