| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $93.33 | $93.33 | |
Aetna
| Professional | $12.59 | $66.07 | $239.88 | |
Cigna
| Facility | $52.48 | $52.48 | $52.48 | |
Cigna
| Professional | $6.17 | $16.22 | $114.82 | |
United
| Professional | $4.27 | $7.24 | $120.23 |