| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $38.90 | |
Aetna
| Professional | $26.92 | $28.18 | $33.88 | |
Cigna
| Facility | $22.39 | $22.39 | $22.39 | |
Cigna
| Professional | $38.90 | $38.90 | $48.98 | |
United
| Professional | $12.30 | $20.42 | $51.29 |