| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.48 | $74.48 | $610.32 | |
Aetna
| Professional | $74.48 | $74.48 | $80.83 | |
Cigna
| Facility | $80.29 | $80.29 | $80.29 | |
Cigna
| Professional | $80.29 | $80.29 | $80.29 | |
United
| Professional | $25.03 | $52.78 | $113.12 |