| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.36 | $108.47 | $108.47 | |
Aetna
| Professional | $72.87 | $86.93 | $89.84 | |
Cigna
| Facility | $314.56 | $314.56 | $314.56 | |
Cigna
| Professional | $46.35 | $67.47 | $157.84 | |
United
| Professional | $45.23 | $72.51 | $183.75 |