| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $68.70 | $72.18 | $72.18 | |
Cigna
| Facility | $56.52 | $56.52 | $56.52 | |
Cigna
| Professional | $59.50 | $99.95 | $162.96 | |
United
| Professional | $36.52 | $52.18 | $121.46 |