| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.38 | $27.38 | $28.18 | |
Aetna
| Professional | $27.38 | $27.38 | $27.38 | |
Cigna
| Facility | $29.91 | $34.79 | $51.65 | |
Cigna
| Professional | $23.61 | $23.61 | $23.61 | |
United
| Professional | $23.61 | $23.61 | $23.61 |