| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $34.67 | |
Aetna
| Professional | $19.05 | $28.18 | $38.90 | |
Cigna
| Professional | $19.05 | $19.05 | $21.38 | |
Select Health
| Professional | $25.12 | $25.12 | $45.71 | |
United
| Professional | $22.39 | $28.84 | $44.67 |