| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.31 | $33.31 | $33.31 | |
Aetna
| Professional | $32.53 | $33.31 | $33.31 | |
Cigna
| Facility | $33.31 | $33.31 | $85.00 | |
Cigna
| Professional | $33.31 | $33.31 | $49.77 | |
United
| Professional | $32.65 | $32.65 | $47.30 |