| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $70.79 | $70.79 | |
Aetna
| Professional | $48.98 | $51.29 | $61.66 | |
Cigna
| Facility | $40.74 | $40.74 | $40.74 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
United
| Professional | $21.88 | $37.15 | $93.33 |