| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.42 | $57.16 | $57.16 | |
Aetna
| Professional | $37.00 | $57.16 | $57.16 | |
Cigna
| Facility | $45.22 | $52.28 | $60.41 | |
Cigna
| Professional | $49.28 | $49.28 | $49.28 | |
United
| Professional | $46.82 | $49.28 | $49.28 |