| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.41 | $224.41 | $316.16 | |
Aetna
| Professional | $3.75 | $4.05 | $5.09 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $6.25 | $84.66 | $117.60 | |
United
| Professional | $4.28 | $6.32 | $14.52 |