| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.91 | $125.91 | $125.91 | |
Aetna
| Professional | $86.50 | $86.50 | $86.50 | |
Cigna
| Facility | $71.17 | $71.17 | $71.17 | |
Cigna
| Professional | $57.54 | $125.55 | $156.94 | |
United
| Professional | $39.82 | $55.22 | $115.04 |