| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.67 | $29.67 | $29.67 | |
Aetna
| Professional | $20.38 | $21.41 | $21.41 | |
Cigna
| Facility | $16.77 | $16.77 | $16.77 | |
Cigna
| Professional | $18.47 | $29.74 | $48.10 | |
United
| Professional | $10.84 | $15.48 | $36.04 |