| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $33.88 | |
Aetna
| Professional | $19.05 | $23.99 | $87.10 | |
Cigna
| Facility | $19.05 | $19.05 | $19.05 | |
Cigna
| Professional | $14.45 | $16.98 | $44.67 | |
United
| Professional | $10.47 | $13.18 | $64.57 |