| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.30 | $78.30 | $108.12 | |
Aetna
| Professional | $37.28 | $78.30 | $78.30 | |
Cigna
| Facility | $40.39 | $46.85 | $111.48 | |
Cigna
| Professional | $71.45 | $71.45 | $89.31 | |
United
| Professional | $26.10 | $37.28 | $62.14 |