| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $75.86 | $1,698.24 | |
Aetna
| Professional | $28.18 | $28.84 | $107.15 | |
Cigna
| Facility | $30.90 | $30.90 | $30.90 | |
Cigna
| Professional | $30.90 | $30.90 | $30.90 | |
United
| Facility | $25.12 | $29.51 | $36.31 | |
United
| Professional | $30.20 | $30.20 | $36.31 |