| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.60 | $30.60 | $1,711.45 | |
Aetna
| Professional | $29.52 | $30.60 | $32.86 | |
Cigna
| Facility | $30.60 | $30.60 | $30.60 | |
Cigna
| Professional | $30.60 | $30.60 | $30.60 | |
United
| Professional | $30.00 | $30.00 | $36.00 |