| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.25 | $99.25 | $99.25 | |
Aetna
| Professional | $99.25 | $104.70 | $104.70 | |
Cigna
| Facility | $122.28 | $404.21 | $496.55 | |
Cigna
| Professional | $132.11 | $166.22 | $760.20 | |
United
| Professional | $82.60 | $137.69 | $277.41 |