| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.17 | $36.20 | $76.31 | |
Aetna
| Professional | $30.17 | $31.67 | $40.72 | |
Cigna
| Facility | $25.86 | $30.17 | $30.17 | |
Cigna
| Professional | $30.17 | $30.17 | $30.17 | |
United
| Professional | $28.96 | $30.17 | $39.22 |