| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.42 | $76.16 | $437.75 | |
Aetna
| Professional | $55.10 | $56.42 | $56.42 | |
Cigna
| Facility | $56.42 | $56.42 | $56.42 | |
Cigna
| Professional | $56.42 | $56.42 | $56.42 | |
United
| Professional | $53.84 | $56.50 | $74.88 |