| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.03 | $57.03 | $57.03 | |
Aetna
| Professional | $33.22 | $33.22 | $41.16 | |
Cigna
| Facility | $32.22 | $32.22 | $32.22 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
United
| Professional | $20.83 | $40.59 | $109.10 |