| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.71 | $45.71 | $380.19 | |
Aetna
| Professional | $42.66 | $46.77 | $61.66 | |
Cigna
| Facility | $100.00 | $104.71 | $239.88 | |
Cigna
| Professional | $70.79 | $70.79 | $89.13 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $26.30 | $37.15 | $77.62 |