| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.73 | $70.73 | $70.73 | |
Aetna
| Professional | $40.13 | $40.13 | $51.05 | |
Cigna
| Facility | $39.97 | $39.97 | $39.97 | |
Cigna
| Professional | $24.69 | $70.62 | $88.28 | |
United
| Professional | $13.66 | $25.83 | $48.00 |