| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.38 | $31.38 | $37.10 | |
Cigna
| Facility | $54.11 | $54.11 | $54.11 | |
Cigna
| Professional | $39.50 | $39.50 | $54.11 | |
United
| Facility | $48.00 | $48.00 | $48.00 | |
United
| Professional | $31.52 | $38.04 | $57.30 |