| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.90 | $39.90 | $40.35 | |
Aetna
| Professional | $23.51 | $23.51 | $29.12 | |
Cigna
| Facility | $22.81 | $22.81 | $22.81 | |
Cigna
| Professional | $25.22 | $28.33 | $70.83 | |
United
| Professional | $14.74 | $29.42 | $77.20 |