| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.08 | $58.08 | $58.08 | |
Aetna
| Professional | $39.90 | $41.92 | $41.92 | |
Cigna
| Facility | $32.83 | $32.83 | $32.83 | |
Cigna
| Professional | $33.03 | $57.82 | $90.31 | |
United
| Professional | $21.21 | $30.30 | $70.56 |