| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.33 | $144.33 | $144.33 | |
Aetna
| Professional | $99.15 | $104.17 | $104.17 | |
Cigna
| Facility | $81.58 | $81.58 | $81.58 | |
Cigna
| Professional | $68.02 | $144.13 | $186.52 | |
United
| Professional | $52.71 | $73.50 | $175.34 |