| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.81 | $46.81 | $46.81 | |
Aetna
| Professional | $27.27 | $27.27 | $33.78 | |
Cigna
| Facility | $26.46 | $26.46 | $26.46 | |
Cigna
| Professional | $19.18 | $21.64 | $53.65 | |
United
| Professional | $23.45 | $38.67 | $89.54 |