| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.42 | $94.42 | $94.42 | |
Aetna
| Professional | $36.74 | $36.74 | $40.42 | |
Cigna
| Facility | $38.47 | $38.47 | $38.47 | |
Cigna
| Professional | $36.74 | $36.74 | $36.74 | |
United
| Professional | $35.74 | $38.94 | $55.11 |