| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.50 | $45.50 | $67.23 | |
Aetna
| Professional | $45.50 | $66.97 | $78.05 | |
Cigna
| Facility | $79.27 | $79.27 | $79.27 | |
Cigna
| Professional | $61.30 | $61.30 | $61.30 | |
United
| Professional | $52.71 | $77.87 | $110.70 |