| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $112.20 | $123.03 | |
Aetna
| Professional | $61.66 | $81.28 | $112.20 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $74.13 | $123.03 | $165.96 | |
United
| Professional | $72.44 | $97.72 | $158.49 |