| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.15 | $45.15 | $45.15 | |
Aetna
| Professional | $26.30 | $26.30 | $32.59 | |
Cigna
| Facility | $25.52 | $25.52 | $25.52 | |
Cigna
| Professional | $25.22 | $28.33 | $70.83 | |
United
| Professional | $16.48 | $29.42 | $86.37 |