| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.21 | $44.21 | $61.06 | |
Aetna
| Professional | $21.05 | $34.04 | $44.21 | |
Cigna
| Facility | $22.81 | $26.46 | $62.96 | |
United
| Facility | $31.58 | $31.58 | $35.09 | |
United
| Professional | $14.74 | $21.05 | $47.72 |