| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.59 | $131.59 | $131.59 | |
Aetna
| Professional | $90.40 | $94.98 | $94.98 | |
Cigna
| Facility | $74.38 | $74.38 | $74.38 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Professional | $40.04 | $68.66 | $114.43 |