| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.39 | $24.39 | $24.39 | |
Aetna
| Professional | $22.95 | $24.39 | $24.39 | |
Cigna
| Facility | $24.39 | $24.39 | $24.39 | |
Cigna
| Professional | $24.39 | $24.39 | $24.39 | |
United
| Professional | $24.96 | $28.69 | $28.69 |