| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.25 | $45.25 | $45.25 | |
Aetna
| Professional | $42.59 | $44.19 | $45.25 | |
Cigna
| Facility | $30.58 | $45.25 | $45.25 | |
Cigna
| Professional | $45.25 | $45.25 | $45.25 | |
United
| Professional | $39.92 | $44.36 | $50.57 |