| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $45.71 | |
Aetna
| Professional | $25.70 | $32.36 | $117.49 | |
Cigna
| Facility | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $26.30 | $26.30 | $26.30 | |
United
| Professional | $16.60 | $23.44 | $87.10 |