| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.54 | $27.54 | $27.54 | |
Aetna
| Professional | $27.54 | $27.54 | $39.81 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $31.62 | $190.55 | $190.55 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $28.18 | $38.02 | $56.23 |