| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.79 | $233.35 | $233.35 | |
Aetna
| Professional | $62.02 | $90.80 | $99.72 | |
Cigna
| Facility | $102.00 | $102.00 | $102.00 | |
Cigna
| Professional | $83.50 | $102.36 | $165.52 | |
United
| Professional | $76.58 | $104.48 | $233.01 |