| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.94 | $57.94 | $77.95 | |
Aetna
| Professional | $57.94 | $57.94 | $57.94 | |
Cigna
| Facility | $47.64 | $61.86 | $76.81 | |
Cigna
| Professional | $49.95 | $49.95 | $49.95 | |
United
| Professional | $47.45 | $49.95 | $49.95 |