| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.59 | $50.59 | $50.59 | |
Aetna
| Professional | $34.75 | $36.51 | $36.51 | |
Cigna
| Facility | $28.59 | $28.59 | $28.59 | |
Cigna
| Professional | $37.29 | $50.39 | $102.09 | |
United
| Professional | $18.48 | $26.39 | $61.46 |