| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.94 | $38.94 | $38.94 | |
Aetna
| Professional | $26.75 | $28.10 | $28.10 | |
Cigna
| Facility | $22.01 | $22.01 | $22.01 | |
Cigna
| Professional | $17.76 | $39.24 | $49.04 | |
United
| Professional | $12.31 | $16.64 | $34.68 |