| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $40.74 | |
Aetna
| Professional | $22.91 | $28.84 | $104.71 | |
Cigna
| Facility | $22.91 | $22.91 | $22.91 | |
Cigna
| Professional | $22.91 | $25.12 | $70.79 | |
United
| Professional | $14.79 | $21.38 | $77.62 |