| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.48 | $93.48 | $93.48 | |
Aetna
| Professional | $21.70 | $21.70 | $23.91 | |
Cigna
| Facility | $24.70 | $24.70 | $24.70 | |
Cigna
| Professional | $21.70 | $21.70 | $21.70 | |
United
| Professional | $21.70 | $23.00 | $63.08 |