| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.26 | $60.26 | $60.26 | |
Aetna
| Professional | $48.98 | $69.18 | $120.23 | |
Cigna
| Facility | $134.90 | $134.90 | $134.90 | |
Cigna
| Professional | $371.54 | $371.54 | $371.54 | |
United
| Facility | $104.71 | $104.71 | $758.58 | |
United
| Professional | $44.67 | $66.07 | $117.49 |