| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.88 | $28.88 | $39.82 | |
Aetna
| Professional | $28.88 | $40.81 | $43.26 | |
Cigna
| Facility | $48.88 | $48.88 | $48.88 | |
Cigna
| Professional | $38.69 | $38.69 | $38.69 | |
United
| Professional | $32.84 | $46.31 | $73.28 |