| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.84 | $108.84 | $108.84 | |
Aetna
| Professional | $101.36 | $103.73 | $115.70 | |
Cigna
| Facility | $122.50 | $122.50 | $122.50 | |
Cigna
| Professional | $96.63 | $130.49 | $434.22 | |
United
| Professional | $89.71 | $132.84 | $190.59 |