| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.02 | $38.02 | $38.02 | |
Aetna
| Professional | $38.02 | $38.02 | $47.86 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $38.90 | $38.90 | $38.90 | |
United
| Facility | $50.12 | $50.12 | $97.72 | |
United
| Professional | $46.77 | $61.66 | $125.89 |