| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.41 | $67.41 | $67.41 | |
Aetna
| Professional | $39.28 | $39.28 | $48.65 | |
Cigna
| Facility | $38.10 | $38.10 | $38.10 | |
Cigna
| Professional | $30.72 | $34.61 | $85.94 | |
United
| Professional | $17.39 | $35.17 | $128.96 |