| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.70 | $66.70 | $66.70 | |
Aetna
| Professional | $23.42 | $23.42 | $48.14 | |
Cigna
| Facility | $37.70 | $37.70 | $37.70 | |
Cigna
| Professional | $14.39 | $16.13 | $40.10 | |
United
| Professional | $13.45 | $26.10 | $127.60 |