| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.74 | $40.74 | $40.74 | |
Aetna
| Professional | $28.84 | $44.67 | $52.48 | |
Cigna
| Facility | $61.66 | $61.66 | $61.66 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
United
| Facility | $371.54 | $371.54 | $371.54 | |
United
| Professional | $41.69 | $61.66 | $91.20 |