| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.36 | $70.81 | $111.18 | |
Aetna
| Professional | $28.77 | $37.36 | $42.00 | |
Cigna
| Facility | $39.57 | $48.48 | $80.80 | |
Cigna
| Professional | $47.32 | $47.32 | $47.32 | |
United
| Professional | $42.25 | $47.74 | $50.70 |