| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.14 | $85.86 | $120.00 | |
Aetna
| Professional | $58.66 | $62.16 | $70.28 | |
Cigna
| Facility | $114.97 | $114.97 | $114.97 | |
Cigna
| Professional | $51.25 | $79.56 | $87.08 | |
United
| Professional | $66.30 | $85.11 | $175.74 |