| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.13 | $122.73 | $195.26 | |
Aetna
| Professional | $63.82 | $67.62 | $75.98 | |
Cigna
| Facility | $814.75 | $814.75 | $814.75 | |
Cigna
| Professional | $75.31 | $105.82 | $128.53 | |
United
| Professional | $68.55 | $132.69 | $180.40 |