| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.30 | $43.30 | $45.47 | |
Aetna
| Professional | $40.75 | $42.28 | $43.30 | |
Cigna
| Facility | $15.87 | $28.87 | $31.14 | |
Cigna
| Professional | $28.87 | $28.87 | $28.87 | |
United
| Professional | $39.21 | $40.53 | $46.61 |