| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.90 | $35.90 | $35.90 | |
Aetna
| Professional | $20.92 | $20.92 | $25.91 | |
Cigna
| Facility | $20.29 | $20.29 | $20.29 | |
Cigna
| Professional | $14.39 | $16.13 | $40.10 | |
United
| Professional | $12.29 | $16.93 | $68.68 |