| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.20 | $46.20 | $46.20 | |
Aetna
| Professional | $31.73 | $33.34 | $33.34 | |
Cigna
| Facility | $26.11 | $26.11 | $26.11 | |
Cigna
| Professional | $7.46 | $46.26 | $57.82 | |
United
| Professional | $5.14 | $16.87 | $24.10 |