| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.06 | $74.06 | $74.06 | |
Aetna
| Professional | $50.88 | $53.46 | $53.46 | |
Cigna
| Facility | $41.87 | $41.87 | $41.87 | |
Cigna
| Professional | $46.18 | $73.93 | $120.25 | |
United
| Professional | $27.05 | $38.65 | $89.99 |