| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.62 | $77.62 | $77.62 | |
Aetna
| Professional | $52.48 | $70.79 | $89.13 | |
Cigna
| Facility | $93.33 | $93.33 | $93.33 | |
Cigna
| Professional | $93.33 | $93.33 | $93.33 | |
United
| Facility | $91.20 | $91.20 | $91.20 | |
United
| Professional | $91.20 | $107.15 | $125.89 |