| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.01 | $42.01 | $42.01 | |
Aetna
| Professional | $28.86 | $30.32 | $30.32 | |
Cigna
| Facility | $23.74 | $23.74 | $23.74 | |
Cigna
| Professional | $19.18 | $42.13 | $52.66 | |
United
| Professional | $13.27 | $16.11 | $38.35 |