| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.43 | $41.82 | $257.86 | |
Aetna
| Professional | $29.43 | $29.43 | $58.97 | |
Cigna
| Facility | $39.11 | $44.16 | $50.78 | |
Cigna
| Professional | $25.37 | $25.37 | $25.37 | |
United
| Professional | $25.37 | $25.37 | $25.37 |