| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.65 | $116.19 | $116.19 | |
Aetna
| Professional | $79.65 | $116.28 | $143.22 | |
Cigna
| Facility | $139.07 | $139.07 | $139.07 | |
Cigna
| Professional | $107.43 | $107.43 | $562.83 | |
United
| Professional | $93.14 | $151.22 | $217.65 |