| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $398.11 | |
Aetna
| Professional | $44.67 | $47.86 | $64.57 | |
Cigna
| Facility | $104.71 | $109.65 | $245.47 | |
Cigna
| Professional | $74.13 | $74.13 | $93.33 | |
United
| Facility | $77.62 | $77.62 | $77.62 | |
United
| Professional | $26.92 | $38.90 | $81.28 |