| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.58 | $40.58 | $40.58 | |
Aetna
| Professional | $27.88 | $29.29 | $29.29 | |
Cigna
| Facility | $22.94 | $22.94 | $22.94 | |
Cigna
| Professional | $8.52 | $40.47 | $50.59 | |
United
| Professional | $5.95 | $14.82 | $21.17 |