| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $38.90 | $323.59 | |
Aetna
| Professional | $36.31 | $39.81 | $52.48 | |
Cigna
| Facility | $85.11 | $89.13 | $199.53 | |
Cigna
| Professional | $60.26 | $60.26 | $75.86 | |
United
| Facility | $63.10 | $63.10 | $63.10 | |
United
| Professional | $22.39 | $31.62 | $66.07 |