| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.77 | $13.77 | $13.77 | |
Aetna
| Professional | $13.45 | $13.45 | $13.77 | |
Cigna
| Facility | $13.25 | $13.25 | $13.25 | |
Cigna
| Professional | $13.25 | $13.25 | $13.25 | |
United
| Professional | $12.63 | $13.25 | $16.20 |