| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $73.81 | |
Aetna
| Professional | $50.71 | $53.28 | $53.28 | |
Cigna
| Facility | $41.72 | $41.72 | $41.72 | |
Cigna
| Professional | $21.31 | $73.51 | $91.89 | |
United
| Professional | $14.28 | $26.96 | $96.29 |