| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.39 | $59.39 | $59.39 | |
Aetna
| Professional | $40.79 | $42.86 | $42.86 | |
Cigna
| Facility | $33.57 | $33.57 | $33.57 | |
Cigna
| Professional | $29.13 | $59.47 | $80.01 | |
United
| Professional | $21.69 | $30.98 | $72.16 |