| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.76 | $74.83 | $179.55 | |
Aetna
| Professional | $23.51 | $40.99 | $40.99 | |
Cigna
| Facility | $22.81 | $22.81 | $22.81 | |
Cigna
| Professional | $25.22 | $28.33 | $70.83 | |
United
| Professional | $15.79 | $52.64 | $68.59 |