| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $46.77 | |
Aetna
| Professional | $26.92 | $33.11 | $123.03 | |
Cigna
| Facility | $26.30 | $26.30 | $26.30 | |
Cigna
| Professional | $17.38 | $21.88 | $53.70 | |
United
| Professional | $23.44 | $37.15 | $89.13 |