| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.89 | $7.89 | $145.74 | |
Aetna
| Professional | $7.89 | $7.89 | $7.89 | |
Cigna
| Facility | $54.44 | $63.15 | $150.25 | |
Cigna
| Professional | $96.23 | $96.23 | $120.29 | |
United
| Professional | $35.18 | $50.26 | $83.76 |