| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.07 | $51.57 | $51.57 | |
Aetna
| Professional | $17.64 | $20.92 | $24.83 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $30.31 | $84.66 | $117.60 | |
United
| Professional | $22.58 | $32.65 | $75.64 |