| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.63 | $69.63 | $69.63 | |
Aetna
| Professional | $69.63 | $74.34 | $74.34 | |
Cigna
| Facility | $105.27 | $529.72 | $650.73 | |
Cigna
| Professional | $92.52 | $117.66 | $530.66 | |
United
| Professional | $60.83 | $98.63 | $241.13 |