| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.01 | $67.01 | $67.01 | |
Aetna
| Professional | $64.28 | $67.01 | $67.01 | |
Cigna
| Facility | $49.22 | $49.22 | $53.09 | |
Cigna
| Professional | $49.22 | $49.22 | $49.22 | |
United
| Professional | $6.49 | $16.22 | $16.54 |