| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.45 | $48.45 | $48.45 | |
Aetna
| Professional | $42.13 | $42.13 | $42.13 | |
Cigna
| Facility | $42.13 | $42.13 | $42.13 | |
Cigna
| Professional | $22.91 | $48.40 | $63.32 | |
United
| Professional | $13.94 | $17.69 | $44.56 |