| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.31 | $29.31 | $89.99 | |
Aetna
| Professional | $29.31 | $29.31 | $29.31 | |
Cigna
| Facility | $35.65 | $41.44 | $46.29 | |
Cigna
| Professional | $25.27 | $25.27 | $25.27 | |
United
| Professional | $25.27 | $25.27 | $25.27 |