| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.70 | $30.70 | $30.70 | |
Aetna
| Professional | $29.91 | $32.60 | $32.90 | |
Cigna
| Facility | $28.22 | $28.22 | $28.22 | |
Cigna
| Professional | $29.91 | $42.33 | $42.33 | |
United
| Professional | $29.91 | $29.91 | $29.91 |