| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.00 | $51.00 | $51.00 | |
Aetna
| Professional | $51.00 | $51.00 | $61.20 | |
Cigna
| Facility | $51.00 | $51.00 | $51.00 | |
Cigna
| Professional | $51.00 | $51.00 | $72.51 | |
United
| Professional | $45.90 | $51.00 | $57.58 |