| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.86 | $88.86 | $94.45 | |
Aetna
| Professional | $79.69 | $89.45 | $99.51 | |
Cigna
| Professional | $93.37 | $110.09 | $174.15 | |
Medcost
| Facility | $79.69 | $102.19 | $154.44 | |
Medcost
| Professional | $95.23 | $95.23 | $105.46 | |
United
| Professional | $77.95 | $92.93 | $142.62 |