| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.92 | $20.92 | $20.92 | |
Aetna
| Professional | $4.99 | $4.99 | $13.21 | |
Cigna
| Facility | $9.83 | $9.83 | $9.83 | |
Cigna
| Professional | $7.97 | $18.75 | $23.44 | |
United
| Professional | $2.72 | $5.96 | $12.10 |