| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.37 | $63.37 | $63.37 | |
Aetna
| Professional | $63.37 | $68.48 | $68.48 | |
Cigna
| Facility | $79.59 | $404.21 | $496.55 | |
Cigna
| Professional | $79.23 | $86.04 | $333.64 | |
United
| Professional | $53.47 | $81.54 | $144.49 |