| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.72 | $35.72 | $71.44 | |
Aetna
| Professional | $35.72 | $38.07 | $38.75 | |
Cigna
| Facility | $44.64 | $404.21 | $496.55 | |
Cigna
| Professional | $45.22 | $48.39 | $187.11 | |
United
| Professional | $25.93 | $40.96 | $85.14 |