| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.89 | $78.89 | $78.89 | |
Aetna
| Professional | $45.96 | $45.96 | $56.94 | |
Cigna
| Facility | $44.59 | $44.59 | $44.59 | |
Cigna
| Professional | $49.20 | $55.28 | $138.02 | |
United
| Professional | $15.75 | $66.13 | $150.91 |