| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.03 | $92.77 | $126.00 | |
Aetna
| Professional | $58.20 | $61.67 | $69.45 | |
Cigna
| Facility | $635.48 | $635.48 | $635.48 | |
Cigna
| Professional | $57.04 | $90.13 | $115.90 | |
United
| Professional | $62.59 | $96.22 | $165.11 |