| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $48.98 | $48.98 | |
Aetna
| Professional | $28.18 | $34.67 | $128.82 | |
Cigna
| Facility | $27.54 | $27.54 | $27.54 | |
Cigna
| Professional | $27.54 | $30.90 | $85.11 | |
United
| Professional | $17.38 | $23.99 | $93.33 |