| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.16 | $30.16 | $30.16 | |
Aetna
| Professional | $29.09 | $30.16 | $50.15 | |
Cigna
| Facility | $30.08 | $30.08 | $30.08 | |
Cigna
| Professional | $30.08 | $30.08 | $56.08 | |
United
| Professional | $30.08 | $30.08 | $30.08 |