| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.28 | $42.28 | $42.28 | |
Aetna
| Professional | $42.28 | $42.28 | $42.48 | |
Cigna
| Facility | $27.48 | $31.88 | $55.23 | |
Cigna
| Professional | $42.28 | $42.28 | $60.71 | |
United
| Facility | $37.92 | $37.92 | $37.92 | |
United
| Professional | $17.73 | $25.37 | $42.28 |