| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $691.83 | |
Aetna
| Professional | $77.62 | $85.11 | $588.84 | |
Cigna
| Facility | $181.97 | $190.55 | $426.58 | |
Cigna
| Professional | $128.82 | $128.82 | $162.18 | |
United
| Facility | $134.90 | $134.90 | $134.90 | |
United
| Professional | $46.77 | $67.61 | $141.25 |