| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.89 | $40.89 | $40.89 | |
Aetna
| Professional | $39.31 | $39.31 | $40.89 | |
Cigna
| Facility | $37.09 | $39.31 | $39.31 | |
Cigna
| Professional | $39.31 | $39.31 | $39.31 | |
United
| Professional | $39.31 | $39.31 | $39.31 |