| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.93 | $129.05 | $129.05 | |
Aetna
| Professional | $83.89 | $93.01 | $102.33 | |
Cigna
| Facility | $137.77 | $137.77 | $137.77 | |
Cigna
| Professional | $76.11 | $108.70 | $183.81 | |
United
| Professional | $81.50 | $105.63 | $235.98 |