| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $54.95 | $63.10 | |
Aetna
| Professional | $52.48 | $56.23 | $64.57 | |
Cigna
| Facility | $51.29 | $51.29 | $51.29 | |
Cigna
| Professional | $51.29 | $51.29 | $51.29 | |
United
| Facility | $5.89 | $5.89 | $14.79 | |
United
| Professional | $5.01 | $12.59 | $20.42 |