| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.99 | $60.99 | $140.55 | |
Aetna
| Professional | $81.89 | $81.89 | $101.44 | |
Cigna
| Facility | $79.44 | $79.44 | $79.44 | |
Cigna
| Professional | $74.41 | $82.43 | $218.23 | |
United
| Professional | $55.00 | $183.33 | $268.88 |