| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.15 | $34.15 | $47.17 | |
Aetna
| Professional | $16.27 | $34.15 | $34.15 | |
Cigna
| Facility | $17.62 | $20.44 | $48.63 | |
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
United
| Facility | $17.62 | $17.62 | $33.89 | |
United
| Professional | $11.39 | $16.27 | $27.11 |