| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.79 | $73.79 | $85.00 | |
Aetna
| Professional | $73.79 | $73.79 | $81.91 | |
Cigna
| Facility | $78.51 | $93.78 | $93.78 | |
Cigna
| Professional | $93.78 | $93.78 | $93.78 | |
United
| Professional | $81.98 | $94.37 | $98.84 |