| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.56 | $48.56 | $48.56 | |
Aetna
| Professional | $46.85 | $48.56 | $68.56 | |
Cigna
| Facility | $48.56 | $48.56 | $48.56 | |
Cigna
| Professional | $48.56 | $48.56 | $76.79 | |
United
| Professional | $48.56 | $57.13 | $57.13 |