| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.87 | $45.87 | $45.96 | |
Aetna
| Professional | $45.87 | $45.87 | $45.87 | |
Cigna
| Facility | $33.63 | $43.66 | $65.69 | |
Cigna
| Professional | $39.54 | $39.54 | $39.54 | |
United
| Professional | $37.56 | $39.54 | $39.54 |