| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.65 | $101.65 | $101.65 | |
Aetna
| Professional | $51.23 | $60.72 | $101.65 | |
Cigna
| Facility | $1.90 | $53.37 | $117.30 | |
Cigna
| Professional | $27.67 | $75.25 | $137.26 | |
United
| Professional | $30.42 | $38.35 | $63.05 |