| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.90 | $54.00 | $54.00 | |
Aetna
| Professional | $36.90 | $38.25 | $54.00 | |
Cigna
| Facility | $1.41 | $38.25 | $38.25 | |
Cigna
| Professional | $38.25 | $38.25 | $38.25 | |
United
| Professional | $36.00 | $37.50 | $48.00 |