| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.61 | $105.33 | $138.52 | |
Aetna
| Professional | $105.33 | $105.33 | $105.33 | |
Cigna
| Facility | $51.75 | $51.75 | $102.65 | |
Cigna
| Professional | $91.48 | $105.33 | $114.35 | |
United
| Facility | $94.80 | $94.80 | $94.80 | |
United
| Professional | $44.26 | $63.20 | $105.38 |