| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $67.61 | |
Aetna
| Professional | $38.90 | $47.86 | $177.83 | |
Cigna
| Facility | $38.02 | $38.02 | $38.02 | |
Cigna
| Professional | $27.54 | $34.67 | $85.11 | |
United
| Professional | $17.38 | $26.30 | $128.82 |