| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.88 | $56.88 | $56.88 | |
Aetna
| Professional | $14.35 | $14.35 | $14.88 | |
Cigna
| Facility | $30.15 | $30.15 | $30.15 | |
Cigna
| Professional | $30.15 | $30.15 | $30.15 | |
United
| Professional | $13.02 | $17.50 | $17.50 |