| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.30 | $70.31 | $70.31 | |
Aetna
| Professional | $48.30 | $70.72 | $85.30 | |
Cigna
| Facility | $84.06 | $84.06 | $84.06 | |
Cigna
| Professional | $66.06 | $66.06 | $346.12 | |
United
| Professional | $60.36 | $96.60 | $137.57 |