| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.30 | $106.30 | $106.30 | |
Aetna
| Professional | $106.30 | $106.30 | $190.27 | |
Cigna
| Facility | $104.75 | $121.80 | $196.03 | |
United
| Facility | $180.78 | $180.78 | $191.41 | |
United
| Professional | $61.40 | $194.85 | $330.07 |