| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.22 | $50.22 | $50.22 | |
Aetna
| Professional | $29.26 | $46.85 | $46.85 | |
Cigna
| Facility | $28.39 | $28.39 | $28.39 | |
Cigna
| Professional | $28.77 | $32.26 | $80.73 | |
United
| Professional | $18.34 | $33.61 | $96.07 |