| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.50 | $115.50 | $115.50 | |
Aetna
| Professional | $58.22 | $68.64 | $115.50 | |
Cigna
| Facility | $2.16 | $62.87 | $133.30 | |
Cigna
| Professional | $32.19 | $85.15 | $155.16 | |
United
| Professional | $34.54 | $43.35 | $65.58 |