| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.90 | $14.90 | $14.90 | |
Aetna
| Professional | $14.02 | $14.90 | $14.90 | |
Cigna
| Facility | $62.05 | $62.05 | $70.00 | |
Cigna
| Professional | $36.49 | $62.05 | $62.05 | |
United
| Professional | $36.59 | $62.05 | $89.87 |