| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.82 | $39.82 | $54.98 | |
Aetna
| Professional | $18.96 | $39.82 | $39.82 | |
Cigna
| Facility | $20.54 | $23.83 | $47.24 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
United
| Facility | $28.44 | $28.44 | $28.44 | |
United
| Professional | $13.27 | $18.96 | $31.60 |