| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.53 | $147.53 | $147.53 | |
Aetna
| Professional | $85.95 | $85.95 | $106.48 | |
Cigna
| Facility | $83.39 | $83.39 | $83.39 | |
Cigna
| Professional | $86.67 | $96.00 | $254.16 | |
United
| Professional | $53.88 | $104.75 | $282.24 |