| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.01 | $109.45 | $109.45 | |
Aetna
| Professional | $34.38 | $34.38 | $42.59 | |
Cigna
| Facility | $33.35 | $33.35 | $33.35 | |
Cigna
| Professional | $31.26 | $34.61 | $91.67 | |
United
| Professional | $21.55 | $38.01 | $112.88 |