| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.69 | $29.69 | $32.32 | |
Aetna
| Professional | $29.69 | $29.69 | $29.69 | |
Cigna
| Facility | $28.73 | $33.71 | $37.29 | |
Cigna
| Professional | $25.59 | $25.59 | $25.59 | |
United
| Professional | $25.59 | $25.59 | $25.59 |