| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.01 | $59.01 | $59.01 | |
Aetna
| Professional | $34.38 | $34.38 | $42.59 | |
Cigna
| Facility | $33.35 | $33.35 | $33.35 | |
Cigna
| Professional | $36.76 | $41.90 | $110.94 | |
United
| Professional | $21.55 | $34.83 | $112.88 |