| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.98 | $107.08 | $143.09 | |
Aetna
| Professional | $42.79 | $53.21 | $58.44 | |
Cigna
| Facility | $65.00 | $65.00 | $65.00 | |
Cigna
| Professional | $29.99 | $81.02 | $116.06 | |
United
| Professional | $42.56 | $56.12 | $121.02 |