| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.29 | $52.48 | $52.48 | |
Aetna
| Professional | $50.12 | $52.48 | $53.70 | |
Cigna
| Facility | $46.77 | $53.70 | $53.70 | |
Cigna
| Professional | $53.70 | $53.70 | $53.70 | |
United
| Facility | $56.23 | $56.23 | $91.20 | |
United
| Professional | $52.48 | $52.48 | $58.88 | |
Wellpoint
| Professional | $58.88 | $58.88 | $58.88 |