| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.71 | $30.71 | $33.28 | |
Aetna
| Professional | $20.07 | $30.71 | $36.97 | |
Cigna
| Facility | $42.61 | $42.61 | $42.61 | |
Cigna
| Professional | $30.95 | $30.95 | $162.13 | |
United
| Professional | $24.76 | $33.83 | $52.26 |