| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.43 | $42.24 | $56.49 | |
Aetna
| Professional | $38.32 | $50.72 | $67.13 | |
Cigna
| Facility | $57.76 | $57.76 | $57.76 | |
Cigna
| Professional | $55.95 | $55.95 | $293.10 | |
United
| Professional | $47.82 | $77.70 | $105.02 |