| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.36 | $128.78 | $224.69 | |
Aetna
| Professional | $30.00 | $37.36 | $41.10 | |
Cigna
| Facility | $29.84 | $47.32 | $47.32 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
United
| Professional | $40.14 | $46.94 | $49.86 |