| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $74.13 | $74.13 | |
Aetna
| Professional | $46.77 | $52.48 | $190.55 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $21.38 | $54.95 | $91.20 | |
United
| Professional | $5.25 | $24.55 | $95.50 |