| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.57 | $21.57 | $234.47 | |
Aetna
| Professional | $21.57 | $21.57 | $21.57 | |
Cigna
| Facility | $21.85 | $26.72 | $28.37 | |
Cigna
| Professional | $18.59 | $18.59 | $18.59 | |
United
| Professional | $18.59 | $18.59 | $18.59 |