| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.74 | $34.74 | $34.74 | |
Aetna
| Professional | $16.45 | $34.74 | $34.74 | |
Cigna
| Facility | $21.38 | $21.38 | $38.31 | |
Cigna
| Professional | $15.61 | $21.38 | $33.54 | |
United
| Professional | $11.38 | $17.05 | $27.51 |