| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $79.43 | $79.43 | |
Aetna
| Professional | $44.67 | $56.23 | $204.17 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $45.71 | $45.71 | $81.28 | |
United
| Professional | $25.12 | $35.48 | $151.36 |