| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.63 | $50.63 | $50.63 | |
Aetna
| Professional | $34.78 | $36.54 | $36.54 | |
Cigna
| Facility | $28.62 | $28.62 | $28.62 | |
Cigna
| Professional | $12.96 | $50.39 | $62.98 | |
United
| Professional | $8.94 | $15.14 | $26.42 |