| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $22.91 | $23.99 | $89.13 | |
Cigna
| Facility | $19.50 | $19.50 | $19.50 | |
Cigna
| Professional | $21.38 | $34.67 | $54.95 | |
United
| Professional | $5.25 | $18.20 | $44.67 |