| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.53 | $35.53 | $37.17 | |
Aetna
| Professional | $21.12 | $26.28 | $46.35 | |
Cigna
| Facility | $250.00 | $250.00 | $250.00 | |
Cigna
| Professional | $19.87 | $23.11 | $38.84 | |
United
| Professional | $19.43 | $26.83 | $67.54 |