| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.90 | $104.90 | $104.90 | |
Aetna
| Professional | $98.36 | $102.39 | $126.47 | |
Cigna
| Facility | $119.60 | $119.60 | $119.60 | |
Cigna
| Professional | $94.83 | $134.28 | $425.32 | |
United
| Professional | $91.05 | $138.75 | $194.78 |