| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.45 | $77.45 | $77.45 | |
Aetna
| Professional | $53.21 | $55.91 | $55.91 | |
Cigna
| Facility | $43.78 | $43.78 | $43.78 | |
Cigna
| Professional | $48.31 | $77.23 | $126.14 | |
United
| Professional | $28.29 | $40.42 | $94.11 |