| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.11 | $99.77 | $1,400.00 | |
Aetna
| Professional | $70.11 | $92.80 | $111.80 | |
Cigna
| Facility | $122.95 | $122.95 | $122.95 | |
Cigna
| Professional | $69.30 | $107.88 | $250.81 | |
United
| Professional | $83.35 | $128.04 | $172.73 |