| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.72 | $148.72 | $148.72 | |
Aetna
| Professional | $102.17 | $107.34 | $107.34 | |
Cigna
| Facility | $84.06 | $84.06 | $84.06 | |
Cigna
| Professional | $50.62 | $148.68 | $185.85 | |
United
| Professional | $38.90 | $54.32 | $109.60 |