| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.95 | $69.95 | $69.95 | |
Aetna
| Professional | $67.27 | $67.27 | $69.95 | |
Cigna
| Facility | $63.47 | $67.27 | $67.27 | |
Cigna
| Professional | $67.27 | $67.27 | $67.27 | |
United
| Professional | $67.27 | $67.27 | $67.27 |