| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.27 | $49.27 | $49.27 | |
Aetna
| Professional | $28.70 | $28.70 | $35.56 | |
Cigna
| Facility | $27.85 | $27.85 | $27.85 | |
Cigna
| Professional | $30.72 | $34.61 | $85.94 | |
United
| Professional | $17.98 | $25.70 | $94.25 |