| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.61 | $105.33 | $110.60 | |
Aetna
| Professional | $105.33 | $105.33 | $105.33 | |
Cigna
| Facility | $105.33 | $105.33 | $105.33 | |
Cigna
| Professional | $91.48 | $105.33 | $114.35 | |
United
| Professional | $44.26 | $52.67 | $158.00 |