| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.58 | $50.36 | $50.36 | |
Aetna
| Professional | $50.36 | $50.36 | $50.36 | |
Cigna
| Facility | $58.33 | $66.12 | $76.04 | |
Cigna
| Professional | $43.41 | $43.41 | $43.41 | |
United
| Professional | $41.24 | $43.41 | $43.41 |