| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.51 | $110.17 | $854.68 | |
Aetna
| Professional | $64.19 | $99.39 | $99.39 | |
Cigna
| Facility | $62.27 | $62.27 | $62.27 | |
Cigna
| Professional | $61.09 | $69.25 | $183.33 | |
United
| Professional | $40.24 | $57.48 | $210.76 |