| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.00 | $124.13 | $124.13 | |
Aetna
| Professional | $81.44 | $97.09 | $100.30 | |
Cigna
| Facility | $402.28 | $402.28 | $402.28 | |
Cigna
| Professional | $64.73 | $86.43 | $176.39 | |
United
| Professional | $69.02 | $79.61 | $205.98 |