| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.20 | $30.20 | $33.88 | |
Aetna
| Professional | $33.11 | $33.11 | $37.15 | |
Cigna
| Facility | $32.36 | $33.88 | $85.11 | |
Cigna
| Professional | $33.88 | $107.15 | $107.15 | |
United
| Facility | $33.88 | $33.88 | $33.88 | |
United
| Professional | $33.88 | $33.88 | $44.67 |