| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $141.25 | $141.25 | |
Aetna
| Professional | $81.28 | $100.00 | $363.08 | |
Cigna
| Facility | $79.43 | $79.43 | $79.43 | |
Cigna
| Professional | $70.79 | $81.28 | $218.78 | |
United
| Professional | $51.29 | $74.13 | $269.15 |