| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.54 | $152.28 | $186.46 | |
Aetna
| Professional | $71.40 | $71.40 | $71.40 | |
Cigna
| Facility | $71.40 | $71.40 | $85.00 | |
Cigna
| Professional | $71.40 | $71.40 | $288.43 | |
United
| Professional | $77.41 | $79.80 | $115.57 |