| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.25 | $38.25 | $38.25 | |
Aetna
| Professional | $36.90 | $38.25 | $38.25 | |
Cigna
| Facility | $38.25 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $35.74 | $37.50 | $47.38 |