| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.08 | $79.92 | $79.92 | |
Aetna
| Professional | $50.80 | $60.27 | $62.17 | |
Cigna
| Facility | $831.32 | $831.32 | $831.32 | |
Cigna
| Professional | $42.33 | $57.23 | $109.92 | |
United
| Professional | $42.74 | $54.43 | $126.32 |