| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $23.99 | $25.70 | $30.90 | |
Cigna
| Facility | $20.42 | $20.42 | $20.42 | |
Cigna
| Professional | $36.31 | $36.31 | $44.67 | |
United
| Professional | $10.96 | $18.62 | $46.77 |