| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.47 | $34.47 | $34.47 | |
Aetna
| Professional | $3.00 | $3.00 | $24.88 | |
Cigna
| Facility | $19.48 | $19.48 | $19.48 | |
Cigna
| Professional | $1.78 | $34.69 | $43.37 | |
United
| Professional | $1.63 | $3.59 | $23.98 |