| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.93 | $121.06 | $544.36 | |
Aetna
| Professional | $3.50 | $3.50 | $144.63 | |
Cigna
| Facility | $4.46 | $5.80 | $10.49 | |
Cigna
| Professional | $3.02 | $3.02 | $3.02 | |
United
| Professional | $3.02 | $3.02 | $3.02 |