| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.15 | $141.15 | $194.92 | |
Aetna
| Professional | $67.20 | $141.15 | $141.15 | |
Cigna
| Facility | $72.81 | $84.46 | $200.96 | |
Cigna
| Professional | $128.44 | $128.44 | $160.55 | |
United
| Facility | $100.82 | $100.82 | $100.82 | |
United
| Professional | $47.05 | $67.20 | $112.02 |