| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.12 | $50.12 | $50.12 | |
Aetna
| Professional | $38.02 | $53.70 | $64.57 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $263.03 | $263.03 | $263.03 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $44.67 | $63.10 | $89.13 |