| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113.93 | $113.93 | $113.93 | |
Aetna
| Professional | $107.67 | $107.67 | $113.93 | |
Cigna
| Facility | $132.79 | $132.79 | $299.52 | |
Cigna
| Professional | $129.50 | $183.87 | $886.89 | |
United
| Professional | $93.89 | $172.67 | $401.60 |