| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.01 | $33.82 | $577.72 | |
Aetna
| Professional | $18.59 | $18.59 | $19.52 | |
Cigna
| Facility | $18.59 | $18.59 | $18.59 | |
Cigna
| Professional | $18.59 | $18.59 | $18.59 | |
United
| Professional | $18.59 | $18.59 | $18.59 |