| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.83 | $78.83 | $78.83 | |
Aetna
| Professional | $45.93 | $45.93 | $56.90 | |
Cigna
| Facility | $44.56 | $44.56 | $44.56 | |
Cigna
| Professional | $81.48 | $81.48 | $81.48 | |
United
| Professional | $28.58 | $41.13 | $150.81 |