| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $44.67 | $83.18 | |
Aetna
| Professional | $30.20 | $32.36 | $117.49 | |
Cigna
| Facility | $25.70 | $25.70 | $25.70 | |
Cigna
| Professional | $18.20 | $44.67 | $56.23 | |
United
| Professional | $8.32 | $16.60 | $58.88 |