| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.86 | $54.86 | $54.86 | |
Aetna
| Professional | $52.75 | $52.75 | $54.86 | |
Cigna
| Facility | $49.77 | $52.75 | $52.75 | |
Cigna
| Professional | $52.75 | $52.75 | $52.75 | |
United
| Professional | $52.75 | $52.75 | $52.75 |