| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.49 | $61.49 | $61.49 | |
Aetna
| Professional | $35.82 | $35.82 | $44.38 | |
Cigna
| Facility | $34.76 | $34.76 | $34.76 | |
Cigna
| Professional | $25.04 | $28.13 | $70.31 | |
United
| Professional | $17.39 | $32.08 | $117.63 |