| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.38 | $84.38 | $84.38 | |
Aetna
| Professional | $49.16 | $49.16 | $60.90 | |
Cigna
| Facility | $47.69 | $47.69 | $47.69 | |
Cigna
| Professional | $37.29 | $41.31 | $109.37 | |
United
| Professional | $31.68 | $45.26 | $161.41 |