| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $97.72 | $120.23 | |
Aetna
| Professional | $51.29 | $70.79 | $165.96 | |
Cigna
| Facility | $114.82 | $114.82 | $114.82 | |
Cigna
| Professional | $51.29 | $79.43 | $114.82 | |
United
| Professional | $66.07 | $85.11 | $173.78 |