| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.18 | $144.18 | $199.11 | |
Aetna
| Professional | $68.66 | $144.18 | $144.18 | |
Cigna
| Facility | $74.38 | $86.28 | $171.07 | |
Cigna
| Professional | $131.75 | $131.75 | $164.68 | |
United
| Facility | $102.99 | $102.99 | $102.99 | |
United
| Professional | $48.06 | $68.66 | $114.43 |