| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.88 | $33.88 | $50.12 | |
Aetna
| Professional | $33.88 | $47.86 | $58.88 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $42.66 | $42.66 | $223.87 | |
United
| Professional | $44.67 | $61.66 | $93.33 |