| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.98 | $119.93 | $202.50 | |
Aetna
| Professional | $38.29 | $50.38 | $64.42 | |
Cigna
| Facility | $45.52 | $56.02 | $92.96 | |
Cigna
| Professional | $54.60 | $54.60 | $54.60 | |
United
| Professional | $46.60 | $55.43 | $58.86 |