| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.11 | $40.11 | $40.11 | |
Aetna
| Professional | $37.76 | $40.11 | $40.11 | |
Cigna
| Facility | $40.11 | $40.11 | $40.11 | |
Cigna
| Professional | $40.11 | $40.11 | $40.11 | |
United
| Professional | $39.33 | $39.33 | $39.33 |