| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $30.90 | |
Aetna
| Professional | $20.89 | $21.88 | $26.92 | |
Cigna
| Facility | $17.78 | $17.78 | $17.78 | |
Cigna
| Professional | $31.62 | $31.62 | $38.90 | |
United
| Professional | $9.55 | $16.22 | $40.74 |