| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.95 | $30.95 | $30.95 | |
Aetna
| Professional | $18.03 | $18.03 | $22.34 | |
Cigna
| Facility | $17.48 | $17.48 | $17.48 | |
Cigna
| Professional | $13.68 | $15.34 | $38.02 | |
United
| Professional | $16.14 | $26.54 | $59.20 |