| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.63 | $71.34 | $71.34 | |
Aetna
| Professional | $48.63 | $71.34 | $87.73 | |
Cigna
| Facility | $84.65 | $84.65 | $84.65 | |
Cigna
| Professional | $65.77 | $65.77 | $344.58 | |
United
| Professional | $63.17 | $93.54 | $132.03 |