| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.92 | $33.92 | $33.92 | |
Aetna
| Professional | $33.92 | $36.97 | $37.31 | |
Cigna
| Facility | $32.00 | $32.00 | $32.00 | |
Cigna
| Professional | $33.92 | $48.00 | $48.00 | |
United
| Professional | $33.92 | $33.92 | $33.92 |