| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $63.10 | $63.10 | |
Aetna
| Professional | $39.81 | $44.67 | $162.18 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $61.66 | $61.66 | $77.62 | |
United
| Professional | $19.05 | $32.36 | $81.28 |