| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.02 | $56.80 | $242.43 | |
Aetna
| Professional | $23.02 | $23.02 | $23.02 | |
Cigna
| Facility | $25.28 | $28.55 | $41.12 | |
Cigna
| Professional | $19.84 | $19.84 | $19.84 | |
United
| Professional | $19.84 | $19.84 | $19.84 |