| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $21.88 | $22.39 | |
Aetna
| Professional | $20.89 | $21.88 | $25.70 | |
Cigna
| Facility | $181.97 | $181.97 | $331.13 | |
Cigna
| Professional | $181.97 | $181.97 | $977.24 | |
United
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Professional | $117.49 | $199.53 | $316.23 |