| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.53 | $32.47 | $307.89 | |
Aetna
| Professional | $25.27 | $26.53 | $34.11 | |
Cigna
| Facility | $25.27 | $25.27 | $26.31 | |
Cigna
| Professional | $25.27 | $25.27 | $25.27 | |
United
| Professional | $24.26 | $25.27 | $32.85 |