| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.32 | $39.32 | $39.32 | |
Aetna
| Professional | $27.01 | $28.38 | $28.38 | |
Cigna
| Facility | $22.22 | $22.22 | $22.22 | |
Cigna
| Professional | $17.23 | $39.24 | $49.04 | |
United
| Professional | $12.27 | $16.82 | $35.06 |