| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.88 | $80.88 | $111.69 | |
Aetna
| Professional | $38.51 | $80.88 | $80.88 | |
Cigna
| Facility | $41.72 | $48.40 | $115.15 | |
Cigna
| Professional | $73.51 | $73.51 | $91.89 | |
United
| Facility | $57.77 | $57.77 | $57.77 | |
United
| Professional | $26.96 | $38.51 | $64.19 |