| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.92 | $69.92 | $69.92 | |
Aetna
| Professional | $48.03 | $50.46 | $50.46 | |
Cigna
| Facility | $39.52 | $39.52 | $39.52 | |
Cigna
| Professional | $8.52 | $69.80 | $87.25 | |
United
| Professional | $5.95 | $16.76 | $36.47 |