| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.63 | $35.63 | $35.63 | |
Aetna
| Professional | $24.47 | $25.71 | $25.71 | |
Cigna
| Facility | $20.14 | $20.14 | $20.14 | |
Cigna
| Professional | $22.20 | $35.52 | $57.92 | |
United
| Professional | $13.01 | $15.35 | $43.28 |