| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $56.23 | $81.28 | |
Cigna
| Facility | $97.72 | $97.72 | $97.72 | |
Cigna
| Professional | $61.66 | $81.28 | $141.25 | |
Medcost
| Facility | $53.70 | $72.44 | $125.89 | |
Medcost
| Professional | $125.89 | $125.89 | $125.89 | |
United
| Professional | $56.23 | $69.18 | $107.15 |