| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.84 | $75.84 | $75.84 | |
Aetna
| Professional | $75.84 | $75.84 | $126.81 | |
Cigna
| Facility | $83.29 | $83.29 | $83.29 | |
Cigna
| Professional | $71.73 | $83.29 | $83.29 | |
United
| Professional | $74.37 | $84.04 | $94.35 |