| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.90 | $30.90 | |
Aetna
| Professional | $30.20 | $30.20 | $33.11 | |
Cigna
| Facility | $34.67 | $34.67 | $85.11 | |
Cigna
| Professional | $34.67 | $162.18 | $162.18 | |
United
| Facility | $79.43 | $79.43 | $79.43 | |
United
| Professional | $30.90 | $37.15 | $40.74 |