| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.31 | $39.31 | $39.31 | |
Aetna
| Professional | $39.31 | $39.31 | $44.67 | |
Cigna
| Facility | $39.31 | $39.31 | $39.31 | |
Cigna
| Professional | $39.31 | $39.31 | $39.31 | |
United
| Professional | $34.20 | $39.31 | $39.31 |