| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.29 | $77.29 | $77.29 | |
Aetna
| Professional | $53.10 | $55.78 | $55.78 | |
Cigna
| Facility | $43.69 | $43.69 | $43.69 | |
Cigna
| Professional | $38.89 | $77.23 | $106.51 | |
United
| Professional | $28.23 | $40.33 | $93.88 |