| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $36.31 | $36.31 | |
Aetna
| Professional | $22.91 | $38.02 | $54.95 | |
Cigna
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Professional | $112.20 | $112.20 | $112.20 | |
United
| Facility | $165.96 | $165.96 | $165.96 | |
United
| Professional | $38.02 | $61.66 | $91.20 |