| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.72 | $61.72 | $61.72 | |
Aetna
| Professional | $61.72 | $67.01 | $67.01 | |
Cigna
| Facility | $77.73 | $1,391.62 | $1,709.52 | |
Cigna
| Professional | $55.48 | $83.84 | $325.83 | |
United
| Professional | $41.01 | $59.94 | $122.32 |