| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.75 | $3.75 | $3.75 | |
Aetna
| Professional | $3.75 | $3.75 | $3.75 | |
Cigna
| Facility | $68.36 | $68.36 | $68.36 | |
Cigna
| Professional | $14.84 | $16.82 | $19.76 | |
United
| Professional | $50.00 | $50.00 | $50.00 |