| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.78 | $59.62 | $79.48 | |
Aetna
| Professional | $51.68 | $57.35 | $72.43 | |
Cigna
| Facility | $49.22 | $49.22 | $49.22 | |
Cigna
| Professional | $49.22 | $49.22 | $56.43 | |
United
| Professional | $6.49 | $16.22 | $29.18 |