| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.59 | $39.59 | $39.59 | |
Aetna
| Professional | $23.07 | $23.07 | $28.58 | |
Cigna
| Facility | $22.38 | $22.38 | $22.38 | |
Cigna
| Professional | $24.69 | $27.74 | $69.27 | |
United
| Professional | $20.66 | $32.71 | $75.75 |