| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.27 | $20.76 | $74.33 | |
Aetna
| Professional | $18.37 | $41.36 | $76.59 | |
Cigna
| Facility | $29.04 | $29.04 | $29.04 | |
Cigna
| Professional | $74.09 | $74.09 | $99.77 | |
United
| Professional | $38.13 | $60.46 | $112.19 |