| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.36 | $32.36 | $32.36 | |
Aetna
| Professional | $21.88 | $33.88 | $39.81 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $169.82 | $169.82 | $169.82 | |
United
| Facility | $758.58 | $758.58 | $758.58 | |
United
| Professional | $23.44 | $34.67 | $51.29 |