| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.06 | $122.06 | $122.06 | |
Aetna
| Professional | $83.85 | $88.10 | $88.10 | |
Cigna
| Facility | $68.98 | $68.98 | $68.98 | |
Cigna
| Professional | $46.18 | $121.84 | $152.29 | |
United
| Professional | $31.92 | $44.58 | $89.95 |