| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $39.81 | $57.54 | $72.44 | |
Cigna
| Facility | $128.82 | $128.82 | $128.82 | |
Cigna
| Professional | $338.84 | $338.84 | $338.84 | |
United
| Facility | $104.71 | $104.71 | $758.58 | |
United
| Professional | $37.15 | $52.48 | $83.18 |