| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.16 | $81.16 | $112.07 | |
Aetna
| Professional | $38.65 | $81.16 | $81.16 | |
Cigna
| Facility | $41.87 | $48.57 | $115.56 | |
Cigna
| Professional | $73.93 | $73.93 | $92.41 | |
United
| Facility | $57.97 | $57.97 | $57.97 | |
United
| Professional | $27.05 | $38.65 | $87.60 |