| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.51 | $37.51 | $37.51 | |
Aetna
| Professional | $25.77 | $27.07 | $27.07 | |
Cigna
| Facility | $21.20 | $21.20 | $21.20 | |
Cigna
| Professional | $36.59 | $37.58 | $100.13 | |
United
| Professional | $13.70 | $19.57 | $45.56 |