| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.13 | $65.13 | $65.13 | |
Aetna
| Professional | $16.03 | $16.03 | $17.03 | |
Cigna
| Facility | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $16.98 | $16.98 | $16.98 | |
United
| Professional | $20.04 | $20.04 | $20.09 |