| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.87 | $63.87 | $63.87 | |
Aetna
| Professional | $43.88 | $46.10 | $46.10 | |
Cigna
| Facility | $36.10 | $36.10 | $36.10 | |
Cigna
| Professional | $64.02 | $64.02 | $80.02 | |
United
| Professional | $19.44 | $26.66 | $55.54 |