| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $77.62 | $77.62 | |
Aetna
| Professional | $48.98 | $66.07 | $87.10 | |
Cigna
| Facility | $93.33 | $173.78 | $173.78 | |
Cigna
| Professional | $93.33 | $93.33 | $489.78 | |
United
| Professional | $91.20 | $125.89 | $125.89 |