| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $48.98 | $60.26 | $218.78 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $35.48 | $41.69 | $109.65 | |
United
| Professional | $30.90 | $43.65 | $162.18 |