| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $42.13 | $51.43 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
Cigna
| Facility | $33.43 | $38.78 | $67.19 | |
Cigna
| Professional | $42.13 | $42.13 | $73.88 | |
United
| Facility | $37.92 | $37.92 | $37.92 | |
United
| Professional | $17.73 | $25.28 | $42.38 |