| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.80 | $28.42 | $377.03 | |
Aetna
| Professional | $28.42 | $28.42 | $28.42 | |
Cigna
| Facility | $29.15 | $35.71 | $59.52 | |
Cigna
| Professional | $24.50 | $24.50 | $24.50 | |
United
| Professional | $24.50 | $24.50 | $24.50 |