| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.75 | $28.75 | $28.75 | |
Aetna
| Professional | $20.75 | $20.75 | $20.75 | |
Cigna
| Facility | $16.25 | $16.25 | $16.25 | |
Cigna
| Professional | $13.15 | $25.88 | $32.34 | |
United
| Professional | $6.31 | $13.83 | $20.00 |