| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.50 | $28.50 | $35.15 | |
Aetna
| Professional | $9.98 | $11.54 | $15.19 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $20.19 | $84.66 | $117.60 | |
United
| Professional | $14.84 | $19.60 | $41.80 |